International Journal of Urological Nursing最新文献

{"title":"Factors influencing engagement in pelvic floor muscle exercise following radical prostatectomy: A scoping review","authors":"Yousef Qan'ir PhD,&nbsp;Lixin Song PhD, FAAN,&nbsp;Kathleen Knafl PhD, FAAN,&nbsp;Paschal Sheeran PhD,&nbsp;Hung-Jui Tan MD, MSHPM,&nbsp;Mohammed Shahait MD,&nbsp;Ahmad AL-Sagarat PhD","doi":"10.1111/ijun.12412","DOIUrl":"https://doi.org/10.1111/ijun.12412","url":null,"abstract":"<p>Inconsistent engagement in pelvic floor muscle exercise (PFME) among patients with prostate cancer (PC) following radical prostatectomy may have contributed to varying effectiveness in improving urinary incontinence across studies. Identifying factors influencing engagement can help develop effective interventions to maximize participation, enhance urinary function and improve quality of life (QoL). This scoping review aims to systematically search for factors influencing PFME engagement among post radical prostatectomy patients managing urinary incontinence. Eligible publications in English were identified from various databases, including PubMed, CINAHL, ProQuest, PsycINFO and Scopus. A health science librarian was consulted to assist in formulating search terms, encompassing PC, PFME terms and influencing factors terms. We employed Colandrapp™ for data extraction, focusing on key themes such as study characteristics, PFME education and training, recommended sessions, engagement rates and factors influencing PFME engagement following radical prostatectomy. Results were presented in tables and supplemented by a narrative discussion addressing gaps in research knowledge. The synthesis drew from a diverse body of literature, blending quantitative and qualitative approaches, to contribute to a comprehensive understanding of PFME engagement factors. Twelve papers, based on 10 studies published between 2011 and 2018, met our inclusion criteria. The reviewed studies primarily employed longitudinal quantitative designs, except for one study that utilized a mixed-method design. Only three studies incorporated theories to guide the selection of potential factors influencing PFME engagement. The factors examined across the reviewed studies encompassed aspects related to the patient–partner relationship, patient's action control, planning (dyadic or individual), self-efficacy, perceived urinary incontinence and the patient–provider relationship. We observed conflicting findings regarding the factors influencing PFME engagement across studies. Our review underscores the importance of theory-informed studies using rigorous methodology and precise theoretical and operational definitions of potential factors. Such studies can help pinpoint the most influential factors to enhance PFME engagement and, ultimately, improve symptoms and QoL for PC patients. The scoping review also showed critical implications for nursing practice. Nurses should develop individualized and culturally sensitive interventions, integrate health behaviour change theories, assess patient–partner relationships and action control and consider intention's mediating role in the enhancement of PFME engagement following radical prostatectomy.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"18 2","pages":""},"PeriodicalIF":0.4,"publicationDate":"2024-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141488616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nursing care of TURP and hyperglycemia integrating symptoms management model","authors":"Ns. Sumarno Adi Subrata M.Kep., Ph.D,&nbsp;Ns. Robiul Fitri Masithoh M.Kep,&nbsp;Büşra Şahin PhD,&nbsp;Janet L. Kuhnke RN, BA, BScN, MS, NSWOC, FCN, DrPsychology,&nbsp;Khaldoun M. Aldiabat RN, MSN, Ph.D.","doi":"10.1111/ijun.12404","DOIUrl":"https://doi.org/10.1111/ijun.12404","url":null,"abstract":"<p>Transurethral resection of the prostate (TURP) is a surgical procedure often used to treat benign prostatic hyperplasia. TURP often results in multiple symptoms that worsen a patient's condition, such as hyperglycemia. The relationship between TURP and hyperglycemia is not direct, but it is important to consider the potential impact of hyperglycemia on individuals undergoing TURP. The most critical point in the TURP syndrome is early diagnosis and treatment. Nurses should be aware of the symptoms to prevent further outcomes. To optimise the nursing care, integrating of symptoms management model in TURP care is important as it provides a conceptual foundation for understanding patient care, guides clinical decision-making, contributes to evidence-based practice and fosters professional development. Also nurses can deliver high-quality TURP and hyperglycemia care that meets the diverse needs of patients and contributes to positive health outcomes. However, a study describing the symptoms management of patients living with TURP syndrome and hyperglycemia is limited. Therefore, the article aims to explain the management of hyperglycemia among patients after TURP. The findings of this review are expected to help the nurses notice the symptoms and make accurate interventions along with evaluations.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"18 2","pages":""},"PeriodicalIF":0.4,"publicationDate":"2024-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141439562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of orthotopic neobladder reconstruction on quality of life: A systematic review","authors":"Nazife Gamze Özer Özlü RN, PhD,&nbsp;Sevgi Çolak RN,&nbsp;Fatma Vural RN, PhD","doi":"10.1111/ijun.12407","DOIUrl":"https://doi.org/10.1111/ijun.12407","url":null,"abstract":"<p>How does orthotopic neobladder reconstruction in the surgical treatment of bladder cancer patients affect the quality of life? In the literature, the results affecting the quality of life from patient-reported outcome measures in bladder cancer patients who underwent orthotopic neobladder are not fully known. In this systematic review, the effect of orthotopic neobladder reconstruction on the quality of life in patients with bladder cancer is examined. Literature search was conducted within the framework of PRISMA guidelines and PICO. The research question was conducted in line with the core elements of Population, Concept and Context (PCC) proposed by the Joanna Briggs Institute (JBI) methodology. In the study, international studies published in Medline/PubMed, Cochrane, Web of Science, ProQuest and Scopus databases between 2012 and 2022 and accessible with the keywords ‘quality of life, ileal conduit, orthotopic neobladder, and continent diversion’ were reviewed. Methodological evaluation was performed by three independent authors with the JBI checklist. Six cross-sectional studies with 1485 samples and 12 prospective cohort studies with 1555 samples were included in the review. The Cronbach's alpha coefficient of the checklists was 0.98 in cross-sectional studies and 0.97 in prospective cohort studies. In studies, it was observed that the European Organization for Research and Treatment of Cancer-Quality of Life (EORTC-Quality of Life) scale was mostly used in patients' quality of life. In cross-sectional studies, there is no difference in quality of life between orthotopic neobladder and continent diversions, the quality of life related to bowel function is high in orthotopic neobladder, the quality of life related to urinary and sexual function is low, different surgical techniques in orthotopic neobladder do not affect the quality of life between women and men. It was determined that the factors affecting the quality of life were different and that chemotherapy and radiotherapy had different effects on the quality of life. In prospective cohort studies, it was found that comorbid diseases affect the quality of life, but orthotopic neobladder improves the quality of life of patients in the long term, there is no difference in quality of life between incontinent and continent diversions, and orthotopic neobladder has a positive effect on quality of life, especially in women. The studies conducted show that the studies on the quality of life of patients with orthotopic neobladder are limited and studies with strong effect sizes are needed. This review recommends that more studies be conducted to improve the physical-psychological health, social relationships and environmental quality of life of patients with orthotopic neobladder and that support programs be developed for these patients.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"18 2","pages":""},"PeriodicalIF":0.4,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141435636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of nine sweeps on preventing prostate cancer and benign prostate hyperplasia","authors":"Hashim Talib Hashim MD,&nbsp;Ali Talib Hashim MD,&nbsp;Jaffer Shah MD,&nbsp;Ameer Almamoury MD,&nbsp;Mustafa Hayder Kadhim MD,&nbsp;Narjiss Aji MD,&nbsp;Adil Alhaideri MD,&nbsp;Maryam Chichah MD,&nbsp;Ahmed Qasim Mohammed Alhatemi MD","doi":"10.1111/ijun.12406","DOIUrl":"https://doi.org/10.1111/ijun.12406","url":null,"abstract":"<p>Benign prostatic hyperplasia (BPH), often known as prostate gland enlargement, is a common disorder in elderly men. The nine sweeps or Istibra, a traditional Islamic habit, has been hypothesized to decrease the risk of prostate diseases. This study aims to investigate the potential preventive effects of Istibra on prostate cancer and BPH among individuals with a positive family history. It is a retrospective cohort study conducted among 215 high-risk people for prostate cancer with positive family history who have been on regular habits of using the nine sweeps (Istibra) for 20 years or more. The data was collected retrospectively and full history was taken from each of the patients. Odds ratios were calculated to evaluate the relationship between Istibra usage and prostate pathologies. The majority of participants had no chronic diseases or exposure to known carcinogens. Most individuals performed Istibra 5–10 times per day for 20 years or more. Despite positive family histories, 82% and 85% of participants were not diagnosed with BPH or prostate cancer, respectively. Istibra may be effective in preventing BPH and prostate cancer among individuals with positive family histories. Further studies with larger samples are warranted to confirm these findings and elucidate the mechanism of action.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"18 2","pages":""},"PeriodicalIF":0.5,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141430253","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Females have a higher risk of urinary tract infections and experience more worries than males","authors":"Susanne Vahr Lauridsen RN, PhD,&nbsp;Rikke Vaabengaard MSc,&nbsp;R. Zeeberg MSc,&nbsp;Lotte Jacobsen MSc,&nbsp;Sabrina Islamoska MSc, PhD","doi":"10.1111/ijun.12405","DOIUrl":"https://doi.org/10.1111/ijun.12405","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Introduction and Objectives&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Evidence shows differences in referral and management patterns for urinary symptoms between sexes, which seem to influence catheterization rates and that females experience more urinary tract infections (UTIs). Using patient-reported data from clean intermittent catheter (CIC) users, we investigated sex differences in UTI symptoms, behaviour when having a UTI, and worries related to UTIs.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Materials and Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;In March–April 2022, an online survey of 60 questions was distributed among 55 235 CIC users recruited through a customer panel in 11 European countries, Australia, and the United States. Results are based on descriptive analyses presented in proportions and percentages. The participants' data were treated with confidentiality in compliance with the EU General Data Protection Regulation, and the analyses were performed with aggregated anonymous data.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Among 3464 CIC users who responded to the survey, there were 37% females. The four most prevalent urinary problems among females were urinary retention (34%), urinary incontinence (34%), residual urine (32%), and overactive bladder (32%). In addition, among females, 65% had bowel dysfunction, 63% experienced minimum one antibiotic treated UTI within the last year, 53% worried about not emptying their bladder completely, while 71% worried about acquiring a UTI. The overall UTI mean in the study population was 1.88 UTIs/year (95% CI; 1.71–2.07). Females had a 43% higher risk of UTIs compared with males (relative risk: 1.43; 95% CI: 1.26–1.62).&lt;/p&gt;\u0000 \u0000 &lt;p&gt;When having UTIs, there was a significant difference when comparing the reporting of UTI symptoms in females versus males, as females experienced more incontinence (33% vs. 21%), more lower abdominal pain (30% vs. 15%), more discomfort or pain when urinating (41% vs. 31%), discomfort or pain over the kidneys (29% vs. 13%), and less fever (16% vs. 29%). Females also used more supplements (36% vs. 25%), drank more fluid (66% vs. 55%), and took home urine tests (21% vs. 13%).&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusions&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Findings from this cross-sectional study underline the sex differences in reporting of UTI symptoms, behaviour when having a UTI, and worries related to UTIs. Untreated urinary symptoms may have impactful consequences for health-related quality of life, thus, it is important for nurses to know the sex differences in urinary symptoms to identify any risk of UTIs.&lt;/p&gt;\u0000 \u0000 &lt;p&gt;Implications for nursing practice or research: Our study resu","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"18 2","pages":""},"PeriodicalIF":0.4,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141435648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The pivotal role of the robotic nurse in the management of the robotic urologic surgical environment","authors":"Alice Khalil RN,&nbsp;Marisa Bruno RN,&nbsp;Alessandro Spano MSN,&nbsp;Fabrizio Petrone MSN,&nbsp;Edoardo Ghiani RN,&nbsp;Giuseppe Cosma RN,&nbsp;Giuseppe Chiacchio MD,&nbsp;Rocco Simone Flammia MD","doi":"10.1111/ijun.12400","DOIUrl":"https://doi.org/10.1111/ijun.12400","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Introduction and Objectives&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Robotic surgery has revolutionized urology. However, upfront costs, time investments and knowledge required to proficiently operate and maintain robotic equipment and supplies often make it advantageous to implement the role of dedicated robotic nurse (DN) teams. Herein, we aimed to investigate the impact of DN on operative times during robotic urological procedures.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Materials and Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;We retrospectively identified consecutive robotic uro-oncological procedures performed at our institution from Jan to Oct 2023. The cohort was stratified based on the presence or absence of a DN team (DN vs no-DN). The DN team was defined as having independently managed ≥100 robotic urological procedures. Endpoints were preoperative nursing time (pre-NT), postoperative nursing time (post-NT), surgeon operative time (surg-OT), and total operative time (t-OT). Continuous variables were compared using Student's &lt;i&gt;t&lt;/i&gt;-test. Subgroup analyses were conducted for specific procedures: robot-assisted radical cystectomy (RARC), radical prostatectomy (RARP), partial nephrectomy (RAPN), and radical nephrectomy (RARN).&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Overall, 421 procedures were included. The DN group exhibited shorter pre-NT (13.5 vs 23.7, &lt;i&gt;p&lt;/i&gt; &lt; 0.001), post-NT (12.2 vs. 15, &lt;i&gt;p&lt;/i&gt; &lt; 0.001), surg-OT (117 vs. 136, &lt;i&gt;p&lt;/i&gt; &lt; 0.001), and t-OT (143.2 vs. 174.9, &lt;i&gt;p&lt;/i&gt; &lt; 0.001) compared to the no-DN group. Subgroup analysis revealed shorter pre-NT in the DN group for all procedures: RARP (13.2 vs. 23.5, &lt;i&gt;p&lt;/i&gt; &lt; 0.001), RARC (16.4 vs. 29.2, &lt;i&gt;p&lt;/i&gt; &lt; 0.001), RARN (12.6 vs. 18.9, &lt;i&gt;p&lt;/i&gt; &lt; 0.001) and RAPN (12.7 vs. 20.8, &lt;i&gt;p&lt;/i&gt; &lt; 0.001). Conversely, DN group exhibited shorter post-NT in RARP (12 vs. 15.8, &lt;i&gt;p&lt;/i&gt; &lt; 0.001) and RARN (12.4 vs. 15.3, &lt;i&gt;p&lt;/i&gt;: 0.01), but not in RARC (13 vs. 15, &lt;i&gt;p&lt;/i&gt;: 0.06) and RAPN (12.2 vs. 12.7, &lt;i&gt;p&lt;/i&gt;: 0.4) subgroup. Similarly, DN group demonstrated shorter t-OT in RARP (162.7 vs. 185.4, &lt;i&gt;p&lt;/i&gt; &lt; 0.001), but not in RARC (232.8 vs. 245, &lt;i&gt;p&lt;/i&gt;: 0.44), RAPN (91.2 vs. 107.4, &lt;i&gt;p&lt;/i&gt;: 0.35) and RARN (118.5 vs. 127.2, &lt;i&gt;p&lt;/i&gt;: 0.4) subgroups. Finally, no differences in surg-OT were recorded between the DN and non-DN groups for any of the individual procedures (Table 1; Figure 1).&lt;/p&gt;\u0000 \u0000 &lt;div&gt;\u0000 \u0000 \u0000 \u0000 \u0000 &lt;header&gt;&lt;span&gt;TABLE 1.\u0000 &lt;/span&gt;Comparison of time per procedures between dedicated and non-dedicated teams.&lt;/header&gt;\u0000 \u0000 \u0000 \u0000 &lt;div&gt;\u0000 &lt;table&gt;\u0000 \u0000 ","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"18 2","pages":""},"PeriodicalIF":0.5,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141245599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Balanoposthitis in type 2 diabetes mellitus within a brief duration: A case report","authors":"Kanish Akash Rajkumar PharmD,&nbsp;Kothapalli Nagapavani PharmD,&nbsp;Mudigubba Manoj Kumar PharmD, PhD","doi":"10.1111/ijun.12399","DOIUrl":"https://doi.org/10.1111/ijun.12399","url":null,"abstract":"<p>This case report documents the rapid onset of balanoposthitis in a 58-year-old male patient diagnosed with type 2 diabetes mellitus just 2 weeks prior. The patient presented with acute penile pain, swelling, and purulent discharge, necessitating circumcision due to balanoposthitis and phimosis. The diagnosis of type 2 diabetes mellitus 14 days prior highlights the potential for rapid development of balanoposthitis despite practicing proper hygiene. This underscores the importance of healthcare practitioners proactively examining the penile area in newly diagnosed diabetic patients to prevent balanoposthitis and, conversely, screening patients with balanoposthitis for type 2 diabetes mellitus.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"18 2","pages":""},"PeriodicalIF":0.5,"publicationDate":"2024-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141073697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A 3-month mark to urinary continence, after robotic radical prostatectomy—Is it possible?","authors":"Tiago Santos MSc, RN,&nbsp;Mário Varandas RN,&nbsp;Daniela Dias MSc, RN,&nbsp;Inês Sousa MSc","doi":"10.1111/ijun.12396","DOIUrl":"https://doi.org/10.1111/ijun.12396","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Introduction and Objectives&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Urinary incontinence (UI) remains a significant concern after radical prostatectomy. As a part of a nursing follow-up, we evaluate quality-of-life (QoL) which includes UI recovery. Patients proposed to Retzius-sparing robot assisted radical prostatectomy (RS-RARP) have a bundle of appointments starting pre-operatively and continuing after surgery 1 week, 1, 3, 6, 9 and 12 months. In these, we started a urinary rehabilitation programme (URP) performing Kegel Exercises, adaptative and behavioural strategies. The objective is to evaluate timeline until urinary continence recovery after RS-RARP, since this is one of the most asked question by our patients.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Materials and Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Between July 2017 and April 2020 we conducted a prospective observational single-centre study with a total of 208 patients submitted to RS-RARP. We applied the Expanded Prostate Cancer Index Composite-26 (EPIC-26) questionnaire pre and postoperatively at 3, 6, 9 and 12 months, and studied UI by evaluating pad count measured in the 3rd question. The inclusion criteria are: patients that did not have adjuvant or salvage treatments during the follow up; have all pre- and post-operative evaluations; who were continent pre-operatively; and started the URP. A total of 72 patients were included. We have considered the criteria of no pad use for continence recovery. Every patient provided written informed consent for study inclusion, approved by the Institutional Ethics Committee (Approval 07.07.2017).&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Preliminary analysis of enrolled patients reveals that 57 (79,16%) recovered continence during the 12 months period. By 3-month mark, we observed that 42 (73,68%) patients were continent; 7 (12,28%) recovered continence at 6-month mark; 4 (7,02%) recovered continence at 9-month mark and 4 (7,02%) recovered continence 1 year after surgery. We further analysed the total number of pads used daily by the 15 patients (20,83%) that had UI at 12-month mark: 13 patients (86,67%) reported using 1 pad a day and 2 patients (13,33% or 2,77% of all studied population) reported using 3 or more pads a day.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The preliminary results demonstrate a gradual improvement in UI over the first year, with a significant number of patients recovering at 3-month mark. These positive results are most probably consequences of both the surgical approach and the URP. Is required a sub-group analysis to further delineate factors impacting continence recovery, aiding in postoperative rehabilitation care plans that will","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"18 2","pages":""},"PeriodicalIF":0.5,"publicationDate":"2024-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140895163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Telehealth-based pre-operative education session for robot-assisted radical prostatectomy patients—A 2-year follow-up study","authors":"Marc Diocera RN, MN (Urology & Continence),&nbsp;Tiphany Catalan RN,&nbsp;Elizabeth Medhurst RN, MN (Cancer Science),&nbsp;Kenneth Chen MBBS (Singapore), MCI (Singapore), MRCS (Edin), FRCS (Glas), FAMS,&nbsp;Declan G. Murphy MB BCh BaO, FRACS, FRCS (Urol)","doi":"10.1111/ijun.12398","DOIUrl":"https://doi.org/10.1111/ijun.12398","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction and Objectives</h3>\u0000 \u0000 <p>As a quality improvement initiative, our institution's pre-operative education program for patients undergoing robotic radical prostatectomy (Robocare) was changed into a telehealth-based program (Tele-Robocare). During the pre-surgery evaluation process, tele-Robocare was deemed useful (92%) and adequate (100%) in addressing pre-operative needs of patients. Follow-up was deemed necessary to compare patient feedback post-surgery.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>2 years since the complete adoption of the Tele-Robocare program in our institution, a follow-up study was conducted on the participants who attended the original quality improvement initiative (<i>n</i> = 147). An 8-question survey was created via Redcap. A survey link was sent to all participants: 144 via email link and 3 via QR code sent via postal mail. All responses were logged onto the Redcap database.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 87 patients (59.2%) completed the survey. 86 patients completed the survey via email link and 1 patient accessed the survey via the mailed QR code.</p>\u0000 \u0000 <p>The percentage of patients who found Tele-Robocare useful in the following sections are: pre-surgery preparation (90%), discharge care (89%), catheter care (82%), follow-up (93%), troubleshooting (80%).</p>\u0000 \u0000 <p>When asked about what should remain as a part of the program handout and presentation, the findings were similar: pre-surgery preparation (94%), hospital stay information (92%), discharge information (93%), follow-up (90%), access to allied health (90%). The most requested topics that needed additional emphasis were sexual health (<i>n</i> = 5) and impact on mental health (<i>n</i> = 3).</p>\u0000 \u0000 <p>78% agree or strongly agree that telehealth was sufficient in receiving patient education programs such as Tele-Robocare. The most common advice from patients (<i>n</i> = 25) to improve the patient experience and sense of preparedness was to actively seek additional information from the healthcare team, patients and/or patient advocates.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Tele-Robocare is now the standard method in delivering pre-prostatectomy patient education in our institution. However, these follow-up findings highlight the importance of sufficient follow-up and support of patients after surgery as their needs change along with their recovery and outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"18 2","pages":""},"PeriodicalIF":0.5,"publicationDate":"2024-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140895165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing vacuum erectile devices effect on post-radical prostatectomy erectile function","authors":"Mário Varandas RN,&nbsp;Tiago Santos MSc, RN,&nbsp;Daniela Dias MSc, RN,&nbsp;Inês Sousa MSc","doi":"10.1111/ijun.12397","DOIUrl":"https://doi.org/10.1111/ijun.12397","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Introduction and Objective&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Radical prostatectomy, as a treatment for prostate cancer, could lead to erectile dysfunction (ED) which affects the sexuality of patients and may have significant psychological impact and in quality of life. Vacuum erectile devices (VED) have emerged as a non-invasive solution to aid post-prostatectomy ED recovery. This study aims to assess the gains in erectile function (EF) with VED usage in patients submitted to Retzius-sparing robot assisted radical prostatectomy (RS-RARP) at 6- and 12-months post-surgery.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Materials and Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Between January 2022 and September 2022 our center performed 46 RS-RARP, these patients had pre- and post-operative evaluations every 3 months during the first-year post-surgery, led by urology nursing team. If ED was identified and/or patient reported intention to improve EF a penile rehabilitation programme (PRP) that included VED usage was recommended. We conducted a prospective observational single-center study where EF was assessed using the International Index of Erectile Function (IIEF-5) at 6- and 12-months post-surgery. We compared the results of patients that had IIEF-5 score &lt;15 at 6-month mark and started using VED, with IIEF-5 score at 12-month mark. The inclusion criteria are: patients that did not have adjuvant or salvage treatments during the follow up; have post-operative evaluations with IIEF-5 at 6 and 12 months and started PRP. A total of 43 patients were included. We have considered ED rehabilitation if the patient had at least 5 points gain on IIEF-5 score at 12 months versus IIEF-5 at 6 months. Every patient provided written informed consent for study inclusion, approved by the Institutional Ethics Committee (Approval 07.07.2017).&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;From the total of patients included, 22 had an IIEF-5 score &lt;15 at 6-month mark. We recommended VED to 7 patients and 4 used a VED regularly. Regarding patients that used VED, 3 had better IIEF-5 score at 12-month mark comparing to 6-month mark, with an average gain of 7,75 in IIEF-5 score. Regarding the total of patients (&lt;i&gt;n&lt;/i&gt; = 43), 16 still had IIEF-5 score &lt;15 at 12-month mark.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This observational study underscores the potential benefits of VED in aiding EF recovery post RS-RARP. Regular use of VED demonstrated significant improvement in IIEF-5 score at 12-month mark. Our findings suggest that integrating VED into the post RS-RARP rehabilitation care plan could serve as an effective strategy for patients that do not respond effectively to phosphodieste","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"18 2","pages":""},"PeriodicalIF":0.5,"publicationDate":"2024-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140895164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}