International Journal of Urological Nursing最新文献

Urinary tract infections (UTIs) are one of the most common nosocomial bacterial infections in children. This study aimed to investigate the prevalence of UTIs and determine the factors associated with UTI onset in children hospitalised in the PICU. A retrospective study was conducted on data collected from 2015 to 2017 and analysed medical records of 308 patients (aged from 23 days to 17 years old) who were admitted to the PICU. The analysis focused more on 144 patients with urine cultures (positive/sterile) and catheterization, analysing commonalities in the variables such as individual characteristics, days of catheterization and length of PICU stay, urine culture result test, bacteria species, etc. The mean age of the 308 hospitalised children was 6.6 ± 5.5 years old, and 174 out of 308 (56.5%) underwent urinary catheterization; however, 144 out of 174 had a urine culture available. Also, 11 out of 144 (7.6%) were diagnosed with UTIs (positive urine culture) with a mean age of 2.3 ± 2.6 years old. Children with UTIs were hospitalised the longest (22.9 vs. 8.6 days, p = 0.001). The hierarchical models of the logistic regression analysis revealed that participants with increment days of catheter placement (> 5 days, > 10) were more likely to present UTI (OR = 2.30; 1.39–3.81, p = 0.001) compared to participants with no catheter, suggesting that longer duration of catheterization was strongly and independently associated with a higher probability of UTI and thus with catheter-associated urinary tract infections (CUTIs) development. Furthermore, higher age was related to lower odds of having UTI (OR = 0.75; 0.59–0.96, p = 0.023), even after adjusting for days of catheterization (OR = 0.76; 0.57–0.99, p = 0.047) and although females were twice more likely to present UTIs (OR = 1.72; 0.42–6.97, p = 0.451) compared to males, this association was not significant. UTIs are linked to prolonged urinary catheter use, especially in younger females. This suggests UTIs may cause CAUTIs. Interventions to reduce UTIs are crucial in the paediatric intensive care unit (PICU).

Is the use of vasectomy in the United Kingdom experiencing a significant decline due to knowledge of post-vasectomy pain syndrome transmitted through online public forums? Although vasectomy is regularly used as a form of contraception and is generally considered to be safe, the frequency of use within the United Kingdom has fallen very significantly over the past few decades. The greatest risk of the surgery is arguably post-vasectomy pain syndrome, and it is debated how frequent this outcome is, how men emotionally react to such pain—or anticipated pain related to vasectomy. This has implications for counselling men prior to surgery and management. We use public data from Reddit to analyse the perceptions of pain, the frequency of post-vasectomy pain syndrome, and how such pain is resolved. We perform a systematic natural language processing assessment of the largest Reddit communities discussing vasectomy for the first time. We show that the dominant emotional reaction to vasectomy is that of fear—especially in relation to perceived or anticipated pain. Despite this, most men ultimately hold a positive sentiment about vasectomy, albeit at various levels of subjectivity. There are, however, a significant percentage of men who experience strong and negative emotions and experiences of vasectomy—including both the procedure and post-vasectomy pain syndrome. We place a new upper limit on post-vasectomy pain syndrome of 8% using 11 244 posts and estimate life-affecting pain has an upper limit of 2%, with a similar rate of surgery regret. We show that reversal is the most frequently discussed solution to this pain by a factor of approximately 4 compared to other invasive methods. We suggest that any information and consent forms issued to prospective men no longer ethically describe vasectomy complications as “rare” or “very rare”. New onset pain is common for vasectomy. With such public discussion now firmly in place, we hypothesise that vasectomy will see further decreased use in the short term.

This Service Evaluation of a Trial Without a Catheter service (TWOC) provided by a community Bladder and Bowel Service focuses on exploring and identifying areas for improvement within the service. The evaluation provides insight into the effectiveness of a Trial Without a Catheter service in the community and has examined the impact of this service provision on patients' quality of care by seeking patients' overall satisfaction as service users. A quantitative design has been used for data collection, complemented by some qualitative questions. An evaluation questionnaire was designed and distributed to 56 participants to investigate the views of service users. Using Likert scaling statements, with the option to expand the comment text box, the strengths of patients' feelings and satisfactions towards the Trial Without a Catheter service were assessed. The mean age of the participants was 65–84 (range, 25 to 85+) years. There were 24 male and 7 female patients, with urinary retention being the most frequently stated reason for catheterisation. In relation to the experience, in total, 90% of participants who responded either agreed or strongly agreed that the preferred location to have the procedure carried out was at home. Themes raised in relation to the experience were communication, patient's level of stress and anxiety and the impact of Trial Without a Catheter procedure on patients' quality of life. In relation to satisfaction, 100% of the participants stated that they strongly agreed or agreed to being satisfied with the overall care they received from the Trial Without a Catheter service. This Service Evaluation has revealed a high level of patient satisfaction with the Trial Without a Catheter service being performed at home; however, the findings indicate areas of potential improvement regarding communication prior to the procedure. The contribution of the bladder and bowel service has led to improved patients' outcomes.

Bladder cancer ranks ninth in global cancer frequency and fifteenth in Colombia, with a prevalence of 1.9 per 100 000 inhabitants over 5 years (2015–2020), predominantly affecting men in 2022. Due to increasing global cases and the complexity of available medical and surgical treatments, its direct association with sexual dysfunction in both men and women over the years has highlighted the clinical importance of managing sexual health. Our objective was to conduct a literature review to assess the consequences of the effects on sexuality in patients with bladder cancer and tools that can be implemented. Early diagnosis, treatment possibilities, rehabilitation and multidisciplinary management have become crucial for patients' medical outcomes. Literature review on current surgical techniques for preserving survivors' sexual function, sexual functionality consequences and advances in management for adequate physical, psychological, and social recovery enables clinicians to provide focused medical care to improve individuals' quality of life, recognising sexuality as a fundamental aspect of societal reintegration. The sexuality of patients with bladder cancer is affected mainly by the interventions that occur in it; therefore, it is necessary to train and implement many elements that correct this position.

The objective of this study was to assess the prevalence and risk factors associated with lower urinary tract symptoms (LUTS) among female university students. This cross-sectional survey study included 397 female university students aged 18 years and older. Participants completed self-administered questionnaires that assessed sociodemographic and LUTS characteristics, as well as the Bristol Female Lower Urinary Tract Symptoms (BFLUTS) Questionnaire. The study found that the mean age of the students was 20.89 ± 4.02 years. Among the female students, 37% (n: 147) did not experience urinary incontinence (UI), while 25.4% (n: 101) experienced stress UI. The BFLUTS total score was low, with a mean of 9.63 ± 6.49. Risk factors associated with LUTS in female university students include smoking, presence of chronic disease and chronic constipation, cleaning from front to back after toileting, frequent urinary tract infections, poor toilet hygiene, enuresis as a child and maternal history of UI. It has been determined that female university students experience a considerable level of LUTS. To prevent the development of negative symptoms in the future, it is important to identify the associated risk factors and increase knowledge and awareness of the problem.

Enuresis is a common pathological condition in children aged 6–12 years and adolescents, with percentages varying from 10% to 12% and 1%, respectively. It is mainly associated with genetic causes because a family history of enuresis is one of the main risk factors for suffering from the disease. Its pathophysiological mechanisms are still under discussion. However, it is mainly associated with deficiency at the level of hormones, such as antidiuretics, which are altered with circadian cycles, parasympathetic system alterations and sphincter-level problems. To determine the association between the development of enuresis as an early marker in children presenting neurological and behavioural problems. The review found 14 articles that support the strong association between enuresis and various behavioural alterations in children and adolescents, as well as neuropsychological, growth and learning problems. With the advancement of multidisciplinary health teams and a better understanding of conditions that were previously considered part of the expected growth process, it has been recognised that enuresis can be an early clinical sign of mental conditions that, if not addressed, can affect the quality of life and socialisation capacity of children in adulthood. The evidence provided so far shows a strong relationship between enuresis and problems of depression, anxiety, hyperactivity and issues such as obsessive–compulsive syndrome, among others, allowing paediatric urology an early approach to the identification of the issues at the mental health level, even before they are very evident, proposing an alternative for alerting and managing this type of patient.

What factors influence pelvic floor muscle exercise (PFME) intention and engagement among men post-radical prostatectomy (RP), and how do demographic and medical characteristics moderate these relationships? Post-RP urinary incontinence (UI) affects up to 69% of patients, significantly impacting their quality of life. PFME is recommended to manage UI, but many patients fail to achieve the required frequency and intensity, leading to suboptimal outcomes. This study seeks to identify factors influencing PFME intention and engagement, using the Reasoned Action Approach (RAA), to fill the gaps in PFME research and practice. The literature highlights that experiential attitude, instrumental attitude, injunctive norm, autonomy, capacity and perceived UI influence PFME engagement. Previous studies have not fully explored the role of these determinants specifically among men post-RP. Additionally, the moderating effects of demographic and medical factors, such as education level and time since surgery, on these relationships remain underexamined. This gap underscores the need for targeted, evidence-based interventions to optimise UI management post-RP. This study utilised a correlational design with data collected at two points: baseline and a four-week follow-up. A total of 108 men with prostate cancer (PC) post-RP from two large hospitals in Amman, Jordan, participated. After obtaining IRB approval, we recruited patients during their follow-up visits, achieving a recruitment rate of 93.1%. Written informed consent was obtained from all participants. Data were collected through anonymous, printed questionnaires administered in private rooms at the hospitals. PFME engagement, RAA determinants and demographics were measured. A follow-up survey was completed by 107 participants, yielding a retention rate of 99.1%. Statistical analysis included hierarchical regression and moderation analyses. In the final model, PFME intention (β = 0.33, p < 0.001) and perceived UI (β = −0.08, p < 0.001) were significant predictors of PFME engagement. Follow-up regression showed that PFME intention predicted engagement less effectively (B = 0.51, p < 0.001), and perceived UI predicted engagement more strongly (B = −0.22, p < 0.001) when participants were 6 months or longer post-RP. Interactions between months since RP and intention (B = −0.60, p < 0.001) and perceived UI (B = −0.11, p < 0.017) significantly impacted PFME engagement. The study suggests that the RAA framework can effectively predict PFME engagement in men post-RP, guiding the development of tailored interventions to enhance PFME engagement, ultimately improving urinary incontinence outcomes. This research also has the potential to impact the research community by offering insights into behavioural determinants and enhancing the effectiveness of post-radical prostatectomy rehabilita