S. Dal Bello, C. Toneguzzi, S. Magon, L. Forner, F. Claps, A. Porreca, A. Amodeo
{"title":"Implementing Nursing Practice in Italy: Steps for Nurse Training and Supervision in Urodynamic Studies","authors":"S. Dal Bello, C. Toneguzzi, S. Magon, L. Forner, F. Claps, A. Porreca, A. Amodeo","doi":"10.1111/ijun.70029","DOIUrl":"https://doi.org/10.1111/ijun.70029","url":null,"abstract":"","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"19 3","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144915058","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}
Chase Morrison, Jack Vercnocke, Ana M. Moser, Michael L. Cher, Steven Lucas, John Cochrane, Aron Liaw, Kevin Ginsburg
{"title":"Are ChatGPT's Responses to Urologic Inquiries Readable and Supported by AUA Guidelines?","authors":"Chase Morrison, Jack Vercnocke, Ana M. Moser, Michael L. Cher, Steven Lucas, John Cochrane, Aron Liaw, Kevin Ginsburg","doi":"10.1111/ijun.70023","DOIUrl":"https://doi.org/10.1111/ijun.70023","url":null,"abstract":"<div>\u0000 \u0000 <p>Are ChatGPT 3.5's responses to patient inquiries about urologic health conditions (1) supported by the American Urological Association's guidelines and (2) readable and accessible to patients? Artificial intelligence technology continues to increase in popularity, but it still must be heavily vetted to ensure safety and accuracy prior to clinical implementation. ChatGPT has varying success when it comes to accurately answering medical questions. We wanted to see if the chatbot's responses to urologic inquiries were conveyed in a patient-friendly manner and supported by the American Urological Association's guidelines. Our results were compared to those of prior studies looking at ChatGPT's performance on the United States Medical Licensing Examination and American Urological Association Self-Assessment Study Programme. ChatGPT's responses to inquiries were compared to guideline statements set forth by the American Urological Association on its website. In this qualitative experiment, 30 prompts were written from a patient's perspective covering multiple urologic domains. The prompts were posed to ChatGPT 3.5 with responses recorded verbatim and graded with a Support Score and Quality Score by eight evaluators consisting of five board-certified urologists and three current urology residents. Readability of the responses was assessed with Flesch–Kincaid Readability Grade Level scores and statistical analysis was performed with Stata version 15.1. 20/30 (66%) of ChatGPT's responses were supported by the American Urological Association's guidelines (median SS of 4, IQR 3–5), although responses to oncology questions were less supported (5/12 supported). 11/30 (37%) of responses were deemed high quality (median QS of 4, IQR 3–5) with responses related to infertility having the highest quality (3/4). The average Flesch–Kincaid Readability Grade Level score across all domains was 18, equivalent to a college graduate reading level. Most responses from ChatGPT 3.5 to urologic inquiries were supported by current American Urological Association guidelines, but the majority were of overall low quality. Responses were at a college graduate reading level, making them inaccessible to most patients. ChatGPT 3.5 has limitations in its ability to answer urologic health questions in a patient-friendly manner, but future versions may improve its utility.</p>\u0000 </div>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"19 3","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144833172","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":"Evaluation of a Nurse Led Trans-Urethral Laser Ablation Service in the Outpatient Setting in the United Kingdom","authors":"Rebecca Rushton","doi":"10.1111/ijun.70024","DOIUrl":"https://doi.org/10.1111/ijun.70024","url":null,"abstract":"","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"19 3","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144725408","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 Longitudinal Study on Psychological Effects at Diagnosis and Over Time in Dutch Cohort of Men With Peyronie’s Disease","authors":"J. P. Verkerk-Geelhoed, J. J. H. Beck","doi":"10.1111/ijun.70026","DOIUrl":"https://doi.org/10.1111/ijun.70026","url":null,"abstract":"","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"19 3","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144725409","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}
Sara Trapani, Giulia Villa, Ilaria Marcomini, Elisabetta Bagnato, Stefania Rinaldi, Martina Caglioni, Andrea Poliani, Debora Rosa, Stefano Salvatore, Massimo Candiani, Duilio Fiorenzo Manara
{"title":"Prevalence, Risk Factors and Costs of Female Urinary Incontinence: A Multicentre Cross-Sectional Study","authors":"Sara Trapani, Giulia Villa, Ilaria Marcomini, Elisabetta Bagnato, Stefania Rinaldi, Martina Caglioni, Andrea Poliani, Debora Rosa, Stefano Salvatore, Massimo Candiani, Duilio Fiorenzo Manara","doi":"10.1111/ijun.70027","DOIUrl":"https://doi.org/10.1111/ijun.70027","url":null,"abstract":"<div>\u0000 \u0000 <p>What is the prevalence of urinary incontinence and its main subtypes among middle-aged women in Northern Italy? How do urinary incontinence severity and subtypes correlate with risk factors and healthcare costs? Urinary incontinence is a common yet underreported condition among women. Despite its impact, recent data on prevalence, severity and risk factors in Italy, particularly among middle-aged women, remain scarce. This study aims to investigate the correlation between urinary incontinence severity, subtypes and healthcare costs to inform targeted interventions. Urinary incontinence is the involuntary leakage of urine, classified into stress, urgency and mixed types. Its multifactorial aetiology includes demographic, lifestyle, comorbid and obstetric-gynaecological risk factors. Urinary incontinence negatively influences physical, psychological, social and financial well-being. A multicentre cross-sectional study was conducted in four hospitals in Northern Italy, enrolling 722 women. Participants were selected based on eligibility criteria and informed consent was obtained. Data on sociodemographic factors, lifestyle and gynaecologic history were collected. Urinary incontinence severity and subtypes were assessed using the International Consultation on Incontinence Questionnaire—Urinary Incontinence Short Form (ICIQ UI-SF). Multiple logistic regression was performed to identify predictors, while Pearson's correlation test analysed the relationship between urinary incontinence severity and healthcare costs. The prevalence of urinary incontinence was 44.8%, with stress urinary incontinence being the most common subtype (39.1%). Among participants, 19.6% experienced mild leakage, while 4.3% reported severe cases. Identified risk factors included hypertension, sleep disorders, bladder emptying difficulties, higher body mass index, multiple vaginal deliveries, depression and smoking. A significant positive correlation was found between urinary incontinence severity and healthcare costs (<i>r</i> = 0.480, <i>p</i> < 0.001). Urinary incontinence affects nearly half of middle-aged women in Northern Italy. Addressing modifiable risk factors and implementing targeted interventions based on urinary incontinence subtypes are crucial to reduce urinary incontinence prevalence, severity and improve outcomes. Further longitudinal research is essential to better understand urinary incontinence in this demographic.</p>\u0000 </div>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"19 3","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144725546","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}
Hatice Demirdağ, Meftun Akgün, Büşra Erdoğan, Ece Sümeyra Soytürk, Batuhan Kurt, Alime Nur Uygun
{"title":"Preoperative Fasting Times and Postoperative Nausea–Vomiting in Patients Undergoing Urological Surgery: Descriptive and Correlational Study","authors":"Hatice Demirdağ, Meftun Akgün, Büşra Erdoğan, Ece Sümeyra Soytürk, Batuhan Kurt, Alime Nur Uygun","doi":"10.1111/ijun.70025","DOIUrl":"https://doi.org/10.1111/ijun.70025","url":null,"abstract":"<div>\u0000 \u0000 <p>Preoperative fasting, a common practise before surgical procedures, is primarily aimed at reducing the risk of pulmonary aspiration during anaesthesia. However, prolonged periods of fasting can lead to discomfort and postoperative complications, including nausea and vomiting, which contribute significantly to patient dissatisfaction and delayed recovery. This study aims to examine the relationship between preoperative fasting durations and postoperative nausea–vomiting. This study is a descriptive and correlational. The research was conducted at the Urology Clinic of a tertiary care hospital, with 259 hospitalised patients included in the study. Data were collected through face-to-face interviews with patients 24 h after surgery. The Patient Assessment Form and the Apfel Simplified Risk Factors Model were utilised for data collection. Statistical analysis was performed using the Statistical Package for Social Sciences 25. The average preoperative fasting duration for solid food was determined to be 12.52 ± 2.71 h, and for liquid food was 10.79 ± 2.68 h. It was found that 28.2% of patients experienced postoperative nausea, and 19.9% of the patients experienced vomiting in the postoperative period. Differences were observed in nausea scores according to age, smoking, and postoperative opioid use. A low-level positive correlation was observed between the duration of surgery and nausea scores. In conclusion, patients are exposed to prolonged fasting durations. There is a relationship between preoperative fasting durations and the severity of postoperative nausea.</p>\u0000 </div>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"19 3","pages":""},"PeriodicalIF":0.5,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144725547","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":"Correction to “Urinary Tract Infections in a Pediatric Intensive Care Unit: A Three-Year Retrospective Study”","authors":"","doi":"10.1111/ijun.70022","DOIUrl":"https://doi.org/10.1111/ijun.70022","url":null,"abstract":"<p>N. Rikos, C. Aligiannis, A. Taggeridou, I. Contzedaki, A.-M. Spanaki, C. F. Kleisiaris, and M. Linardakis, “Urinary Tract Infections in a Paediatric Intensive Care Unit: A Three- Year Retrospective Study,” <i>International Journal of Urological Nursing</i> 19 (2025): e70017, https://doi.org/10.1111/ijun.70017.</p><p>The authors would like to add Taggeridou Aggeliki and Contzedaki Ioanna to the author list.</p><p>The Author's list and contribution section have been updated accordingly.</p><p>Nikos Rikos<sup>1,</sup>*, Assistant Professor, RN, MPH, PhD, <span>[email protected]</span></p><p>Christos Aligiannis<sup>1</sup>, RN, MSc, <span>[email protected]</span></p><p>Taggeridou Aggeliki<sup>1</sup>, RN, <span>[email protected]</span></p><p>Contzedaki Ioanna<sup>1</sup>, RN, <span>[email protected]</span></p><p>Anna-Maria Spanaki<sup>2</sup>, MD, MPH, PhD, <span>[email protected]</span></p><p>Christos F. Kleisiaris<sup>3</sup>, Associate Professor, RN, MPH, PhD, <span>[email protected]</span></p><p>Manolis Linardakis<sup>4</sup>, PhD, MSc, <span>[email protected]</span></p><p>\u0000 <b>Author Contributions</b>\u0000 </p><p>Conceptualization: N.R. and C.A. Methodology: N.R. and C.K. Validation: M.L. and A.-M.S. Formal analysis: M.L. Investigation: C.A., T.A., C.I., and A.-M.S. Resources: N.R. Data curation: L.M. Writing – original draft preparation: N.R., L.M., C.A. and C.K. Writing – review and editing: N.R., L.M., A.-M.S., C.A. and C.K. Visualization: N.R. and C.A. Supervision N.R. Project administration: N.R., L.M., A.-M.S. and C.A. Funding acquisition: No. All authors have read and agreed to the published version of the manuscript.</p><p>We apologise for this error.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"19 2","pages":""},"PeriodicalIF":0.4,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ijun.70022","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144681162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jennifer Enaux, Michaela Sorber, Adergicia Vitorio Kaiser, Christiane Knecht
{"title":"Women's Illness Experience With Interstitial Cystitis/Bladder Pain Syndrome: A Scoping Review","authors":"Jennifer Enaux, Michaela Sorber, Adergicia Vitorio Kaiser, Christiane Knecht","doi":"10.1111/ijun.70020","DOIUrl":"https://doi.org/10.1111/ijun.70020","url":null,"abstract":"<p>What is known about the illness experience of women with Interstitial Cystitis/Bladder Pain Syndrome? Interstitial Cystitis/Bladder Pain Syndrome is a rare, chronic condition of the urinary bladder that affects women nine times more often than men. Without appropriate treatment, it can severely impact quality of life and psychosocial well-being. Achieving a deeper, gender-specific understanding of the illness experience is crucial for empowering women to develop effective self-management and coping strategies. Existing scientific literature presents a fragmented perspective on patients' experiences. To provide a comprehensive overview of the available evidence, a scoping review was conducted following the JBI methodology, guided by the Illness Constellation Model by Morse and Johnson. Out of 1206 hits, 25 studies met the inclusion criteria, varying in research design, methodological reporting precision, and inclusion criteria. Most of the evidence referred to the Stage of Striving to Regain Self, with no results clearly addressing the Stage of Uncertainty. All results were based on the perspectives of affected women, with four studies including expert opinions. However, none of the studies included direct information from family members, whose perspectives were inferred indirectly. The evidence highlighted the physical, psychosocial, and cognitive challenges experienced throughout the illness. Women with Interstitial Cystitis/Bladder Pain Syndrome face significant challenges that affect their family life, relationships, and career, though research on family interactions is limited. Well-being is closely linked to self-management, partner support, and coping mechanisms, but what constitutes effective self-management from the women's perspective remains unclear. The review calls for more qualitative research, methodological transparency, and improved support and awareness in healthcare practices. The Illness Constellation Model appears insufficient to fully capture the experiences of individuals with Interstitial Cystitis/Bladder pain syndrome, particularly the recurring nature of uncertainty throughout the illness trajectory. Future research should aim for a deeper understanding of successful self-management and coping strategies, including the role and perspectives of family members.</p>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"19 2","pages":""},"PeriodicalIF":0.4,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ijun.70020","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144536839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Using Vacuum Erection Devices for the Treatment of Erectile Dysfunction Following Radical Prostatectomy: A Review of the Literature","authors":"Rachel Skews, Jerome Marley","doi":"10.1111/ijun.70015","DOIUrl":"https://doi.org/10.1111/ijun.70015","url":null,"abstract":"<div>\u0000 \u0000 <p>The number of men diagnosed worldwide with prostate cancer (PC) has increased, and the age of patients diagnosed correspondingly has decreased. Men who undergo treatment for PC (particularly those who undergo surgical management) can subsequently be affected by erectile dysfunction (ED). This ED may be in combination with pre-existing impotence and/or due to the multifactorial aetiology of this condition; the management of ED is complicated and includes treatments, either alone or in combination, such as herbal and prescribed medications, surgery, counselling, and the use of vacuum erection device (VED). The aim of this focused literature review is to understand men's experience of using a VED after radical prostatectomy (RP) and to highlight key findings for future clinical practice to guide and improve the services for men. Suitable papers relating to men using VED for their ED following RP were identified by performing an electronic database search using appropriate MeSH terms; suitable papers were critically reviewed using the CASP tool, and relevant themes were extracted. Analysis of the literature concluded that VED is an important and useful tool in erectile function recovery post-RP, especially in combination with PDE5i. Six key themes were identified from the literature and are discussed in detail. The themes are VED as a treatment modality, effects of VED on penile length, effects of VED on penetration and intercourse, adverse events, and patients' selection and implications for clinical practice.</p>\u0000 </div>","PeriodicalId":50281,"journal":{"name":"International Journal of Urological Nursing","volume":"19 2","pages":""},"PeriodicalIF":0.4,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144091317","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}