International Journal of Urological Nursing最新文献

Medical literature on infection rates for certain specific endourological procedures is available. However, literature is lacking in providing a comprehensive view of the overall post endoscopic infection rates and their risk factors. This article attempts to provide an understanding of overall bacteriuria rate and discuss the contributory factors for common endourological procedures performed in a dedicated urology unit. This was a retrospective analysis of all patients who underwent endourological procedures at our Institute between January 2019 and December 2019. The following factors were assessed as contributors to post-operative bacteriuria: gluteraldehyde versus plasma sterilization of endoscopic equipments, elective versus emergency procedures, age group, the presence of pre-operative foreign bodies, post-operative stent, chronic kidney disease (CKD), diabetes mellitus (DM), procedure time and American Society of Anaesthesiology (ASA) grades. The overall post-operative bacteriuria rate was 17.85% in our total study population, 6.37% had symptomatic urinary tract infection (UTI). Chronic kidney disease (OR 3.5, p < 0.003) and higher ASA grade (OR 1.92, P < 0.002) appear to confer the highest risk of bacteriuria. The factors which were associated with a trend towards a higher incidence of UTI without reaching statistical significance included: the use of gluteraldehyde versus plasma sterilization, pre-operative implants (Foley and ureteric stents), diabetes, advanced age, endoscopy time, post-operative stent emergency surgeries and a clinical decision against the use of prophylactic antibiotics. The overall rate of bacteriuria in all endourological procedures was 17.8%, 6.37% had symptomatic UTI. Chronic kidney disease and higher ASA grades were the most important contributing factors to develop post-operative bacteriuria.

Only limited data evaluating coping methods in patients with bladder cancer are available in the literature. Also, it is unclear how the mental status of these patients affects their stress coping strategies. The aim of the study was to evaluate the stress coping strategies in patients with non-muscle-invasive bladder cancer (NMIBC) and to assess the impact of sociodemographic factors, presence of anxiety and depressive symptoms and degree of sexual satisfaction on stress coping strategies. This prospective cohort study included 100 male patients qualified for control cystoscopy who underwent at least one transurethral resection of bladder tumour (TURB) procedure in the past for NMIBC and at least one control cystoscopy. The minimal follow-up period after primary TURB was 1 year. The MiniCOPE, the Hospital Anxiety and Depression Scale and the Sexual Satisfaction Questionnaire were used. The questionnaires were completed anonymously before cystoscopy in a room that provided privacy. Majority patients with NMIBC chosen adaptive strategies, with ‘accepting’ and ‘seeking emotional support’ being the most common. The choice of strategy was influenced by the severity of anxiety and depressive symptoms as well as the level of sexual satisfaction and pain sensations. Also, sociodemographic variables, such as marriage status, progeniture or the level of education played a role in strategy selection. The results of this study indicate that patients with NMIBC choose adaptive stress coping strategies. It also provides a better understanding of the impact of various aspects of mental health in patients with NMIBC on coping with stress. Each patient treated for NMIBC should undergo appropriate psychological and sociodemographic evaluation, which will allow easier identification of patients at high risk of treatment and postoperative surveillance discontinuation.

What is the state of knowledge on the use of phytotherapy in the following urological benign diseases: prostatic hyperplasia, erectile dysfunction, male infertility, urolithiasis and low-urinary tract symptoms? Supplements derived from natural products are used in medicine alone or in combination with drugs. In urology, there are many products used for symptom management in benign conditions. The aim of this review was to investigate the use of herbal medicines to treat benign urological diseases. A systematic review was conducted using the PubMed, CINAHL, Cochrane Library, Embase and Scopus (2010–2021) databases. The inclusion criteria were studies describing the use of phytotherapeutic strategies to treat adult patients with urological diseases. Quality assessments were performed using the Grades of Recommendation, Assessment, Development and Evaluation (GRADE) approach. Nineteen studies were included in this systematic review: 13 randomized controlled trials, 3 pilot studies, 1 quasi-experimental study, 1 retrospective observational study and 1 post hoc analysis. Phytotherapeutic agents used to treat benign prostatic hyperplasia included royal jelly, Viola odorata, Echium amoenum, Physalis alkekengi, soy isoflavones, Serenoa repens, Trigonella foenum-graecum, lycopene and selenium. Tribulus terrestris is widely used to treat erectile dysfunction and male infertility. Lycopene, Korean ginseng berries, Indian ginseng and Curcuma improve sperm characteristics and motility. Lupeol therapy reduces kidney stone size, improving urolithiasis symptoms and accelerating the expulsion of small stones. No standard of care has been established for the use of phytotherapeutic agents to manage patients with symptomatic urological disorders. Although randomized controlled trials were the most common study type in our review, the sample sizes were limited, and the study duration and follow-up periods were often very short.

The aim of the present study is to find the frequency of chronic prostatitis in Antioquia, Colombia. There are epidemiological gaps in this issue in the Colombian population. Chronic prostatitis is a prevalent disease with a high impact on life quality. The NIH-Chronic Prostatitis Symptom Index (NIH-CPSI) is a commonly used 13-item questionnaire to assess symptom severity in men with chronic prostatitis/chronic pelvic pain syndrome. A validated Spanish version of the NIH-CPSI questionnaire was distributed through social media and institutional e-mails from the University of Antioquia database and other institutions in the Metropolitan Area. Of the distributed questionnaires, 2022 were filled. The vast majority of participants were students, teachers, and professionals. A frequency of 16.4% chronic prostatitis symptoms was observed, 10.1% of individuals had severe symptoms with a median age of 32 years, accompanied by perineal pain and ejaculatory symptoms. Using the NIH-CPSI, the reported worldwide prevalence of chronic prostatitis is range between 1.8% and 65%. This report shows the disease's frequency in Colombia and Latin America for the first time. Chronic prostatitis is a frequent disease in the Antioquia population, with a high impact on the quality of life. Therefore, public health policies should be implemented focusing on men's health.

What are the experiences of post-prostatectomy cancer patients regarding self-management of lower urinary tract symptoms? Individuals with prostate cancer are required to self-manage their post-operative lower urinary tract symptoms and issues associated with them. Clarifying the various aspects of self-management can help in improving patient-tailored support. This study therefore aimed to clarify the self-management of lower urinary tract symptoms in prostate cancer patients who underwent total prostatectomy. Most post-prostatectomy cancer patients have multiple lower urinary tract symptoms. They have a reduced quality of life due to the symptoms and associated physical, psychological, and social issues. Self-management of the symptoms in uncomplicated cases has been shown to be effective, but this has not been clarified for post-prostatectomy cancer patients. The study setting consisted of two designated cancer centres. A survey with semi-structured interviews was conducted among 13 patients with prostate cancer that underwent total prostatectomy. Data were analysed using the qualitative content analysis techniques of Mayring. A total of 410 codes were extracted from which 42 subcategories and 10 categories emerged. The categories were: (1) recognition of issues associated with lower urinary tract symptoms to be solved; (2) examination of strategies for coping with these symptoms; (3) incorporation of actions that lead to an improvement in the symptoms; (4) avoidance of behaviours that cause worsening of the symptoms; (5) devising ways to prevent interference with one's daily life; (6) dealing with problems associated with the symptoms; (7) building relationships with medical staff and surroundings; (8) self-evaluation of bladder control status; (9) positive acceptance of the symptoms; and (10) sensing the effectiveness of strategies regarding the control of urination. The results suggest that health care professionals need to provide feedback to patients on LUTS strategies and their effects to help support patient coping strategies. In addition, determining individual patients' strengths and deficiencies in self-management will allow us to tailor assistance to patients. This is the first step towards the development of self-management scales to objectively assess self-management.

This study was conducted to determine the effects of urinary symptoms and incontinence on quality of life in postmenopausal women. The sample of the cross-sectional study consisted of 327 women aged 50–65 who visited primary healthcare centers between 16 April and 30 July 2018. The data were collected using a personal information form, the Urinary Symptom Profile Questionnaire (USP) and the Incontinence Quality of Life Scale (I-QOL). The mean age of the women participating in the study was 57.89 ± 5.05. It was found that 50.5% of the women had a history of incontinence. While the total mean USP score of all women participating in the study was 4.94 ± 4.81, it was 7.98 ± 4.85 for the women with a history of incontinence. The mean total I-QOL score was 87.09 ± 16.04 in all women and 76.95 ± 16.93 in the women with a history of incontinence. The women with a history of incontinence were found to have a strong negative correlation between their total USP and total I-QOL scores. In this study, it was found that the quality of life of women with urinary incontinence, especially their psychosocial health, was found to be significantly affected.

Elimination disorders are common in children and are associated with increased levels of psychological distress for both the child and their family. Despite successful treatments for elimination disorders, 30% of children do not respond to standard treatments to achieve continence. In these cases, a Urinary and Faecal Incontinence Training Program for Children and Adolescents (UFITPCA) has been established as an adjunct to existing therapy. The aim of the study is to explore the experiences of children who participated in the program. A qualitative design was employed with female children, aged 7–8 years, (n = 4) who participated in the UFITPCA program participated in a 60-min focus group interview. The parents of the children (n = 4) were also interviewed. Data was collected at the end of the 9-week program and analysed to identify themes that encompassed the experiences of the UFITPCA program and associated outcomes amongst both the children and their parents. Three central themes were emerged from the data, which included: Make it Stop, I'm not Alone, and Look at what I can do now. These findings were encapsulated by the desperation and frustration of children and parents prior to commencing the program; the widespread positive implications for the children's wellbeing from having engaged in a program with others just like them, and their sense of satisfaction of putting their newfound knowledge into practice. Both children and parents recognized a change in their child's overall sense of wellbeing and parents identified that their children felt more in control of symptoms and how they responded when symptoms arose. The children experienced an increase in their acceptance and self-efficacy of their symptoms.

Lithotripsy is the primary form of treatment for ureteral calculus. According to clinical data, ureteroscopic lithotripsy (URSL) is characterized by better efficacy, a lower risk of complications, and a quicker postoperative recovery, when compared with open surgery. However, elderly patients often have a variety of chronic diseases that can directly or indirectly influence intraoperative care and postoperative recovery. It is important that medical staff closely observe changes in the postoperative condition of patients and provide them with the best quality care. In order to control the progression of disease and reduce mortality rates, it is very important to promptly eliminate the cause of shock, supplement blood volume, and correct cardiovascular disorders. During the pandemic caused by coronavirus disease 2019 (COVID-19), there has been a significant focus on management, predominantly operating rooms but also intensive care units (ICUs), to ensure that hospitals can provide prompt and effective diagnosis and treatment for every patient with COVID-19 and also prevent the spread of the virus and guarantee the safety of medical staff. During surgery on patients suspected of having COVID-19, it is important that specific personnel take control of the designated work and implement three strict levels of protection to prevent the transmission of the virus by air, droplets, and personal contact. Attention should be paid to the transfer of patients, the protection of medical staff, the management and control of negative pressure operation rooms, and postoperative treatment, thereby ensuring the safety of patients and medical staff. In this case report, we describe the nursing experience of rescuing a patient with COVID-19 who developed septic shock following flexible ureteroscopic holmium laser lithotripsy. The causes of septic shock were subsequently examined to inform a new protective strategy for rescuing patients with COVID-19 in the operating room and ICU, and to prevent and control cross-infection with the virus during surgery.