Erosional injuries inflicted by a home‐made urine collection device: a case report and beyond
We report here a case of erosional penile and urethral injuries identified in an elderly male patient with urinary incontinence. In this case, the improper use of an external, homemade urine collection device in a LT HHC setting may very well be responsible for the medical complications identified in this patient. Noticeably, urine collection pads had been tied with knots at the base of the penis to secure the device in the patient's routine urinary incontinence HHC practice. Eczematoid dermatitides, cutaneous ulceration and scarring erosion induced by LT excessive extrinsic compression were observed on the genitalia and p...
Source: International Journal of Urological Nursing - July 1, 2015 Category: Urology & Nephrology Authors: Tao Chen, Jie Li, Changsheng Chen, Ruifa Han, Changli Wu, Hailong Hu Tags: Commentary Source Type: research

Evidence synthesis and meta‐analysis: a practical approach
ABSTRACT A systematic review (SR) is an explicit and clear assessment of the literature, derived from a clearly articulated research question, along with a critical analysis and according to different tools and a summary of the evidence. If researchers find clear and homogeneous data, then it is possible to perform a meta‐analysis (MA). SRs must include the following: a clear question based on the PICO (patient or population, intervention, comparison and outcome) strategy, a reproducible search strategy, appropriate selection of studies along with data extraction, assessment of the quality of evidence and a MA if it is a...
Source: International Journal of Urological Nursing - July 1, 2015 Category: Urology & Nephrology Authors: Herney Andrés García‐Perdomo Tags: Review Paper Source Type: research

Surveying patients about their experience with a urinary catheter
This study examined patient experience of catheterization; the rationale for the study was to broaden understanding of catheter impact as part of a wider quality improvement agenda. Fifty patients completed a detailed catheter‐experience patient questionnaire. The patients were all inpatients from 17 wards across a range of specialties. Data were sought on demographics, catheter status, experience and their knowledge of and involvement in the catheter care. Fifty percent gender split. Median catheter time was 5 d (range 2 h to long term). Median age 72 years (range 22–92). Thirty‐four percent (n = 17) of patients...
Source: International Journal of Urological Nursing - July 1, 2015 Category: Urology & Nephrology Authors: Daniel Darbyshire, Daniel Rowbotham, Sarka Grayson, Julia Taylor, David Shackley Tags: Research Paper Source Type: research

Conference Diary
(Source: International Journal of Urological Nursing)
Source: International Journal of Urological Nursing - June 19, 2015 Category: Urology & Nephrology Tags: Conference Dairy Source Type: research

The British Association of Urological Nurses in association with The Urology Foundation is pleased to launch the inaugural Nurse of the Year Award
(Source: International Journal of Urological Nursing)
Source: International Journal of Urological Nursing - June 19, 2015 Category: Urology & Nephrology Tags: BAUN News Source Type: research

Female urology – too long the poor relation?
(Source: International Journal of Urological Nursing)
Source: International Journal of Urological Nursing - June 19, 2015 Category: Urology & Nephrology Authors: Rachel Busuttil Leaver Tags: Editorial Source Type: research

Patients' experience and expectations of conservative management strategies, anti‐muscarinics and treatment with intravesical onabotulinum toxin for overactive bladder – a qualitative interview study
ABSTRACT The RELAX trial studied the efficacy of intra‐detrusor onabotulinum toxin A (onaBoNTA) for the treatment of detrusor overactivity (DO) in women. Our objectives in this study were to explore patients' experience and understanding of taking part in a randomised controlled trial (RCT) and their experience of the treatment itself. In addition we explored how patients felt about their bladder problem prior to treatment, conservative management strategies they had been offered, and anti‐muscarinic treatment. Purposive sampling was used to interview patients who had successful and unsuccessful outcomes. Interviewers ...
Source: International Journal of Urological Nursing - May 20, 2015 Category: Urology & Nephrology Authors: Turlough Maguire, Angie Doshani, Christopher Mayne, Mark Slack, Douglas Tincello Tags: Research Paper Source Type: research

Patients' experience and expectations of conservative management strategies, anti ‐muscarinics and treatment with intravesical onabotulinum toxin for overactive bladder – a qualitative interview study
ABSTRACT The RELAX trial studied the efficacy of intra‐detrusor onabotulinum toxin A (onaBoNTA) for the treatment of detrusor overactivity (DO) in women. Our objectives in this study were to explore patients' experience and understanding of taking part in a randomised controlled trial (RCT) and their experience of the treatment itself. In addition we explored how patients felt about their bladder problem prior to treatment, conservative management strategies they had been offered, and anti‐muscarinic treatment. Purposive sampling was used to interview patients who had successful and unsuccessful outcomes. Interviewers ...
Source: International Journal of Urological Nursing - May 19, 2015 Category: Urology & Nephrology Authors: Turlough Maguire, Angie Doshani, Christopher Mayne, Mark Slack, Douglas Tincello Tags: Research Paper Source Type: research

Bladder augmentation in children and young adults: a review of published literature
The objective of this study is to review published literature on bladder augmentation in children and young adults (C&YA) with a neuropathic bladder following a neural tube defect or spinal cord injury to inform nursing practice and patient education. Medline, Embase, CINAHL, PsycINFO and the British Nursing Index were systematically searched to identify studies. The papers reviewed were case studies and medical note review in single centres regarding outcome and post‐operative complications. This limits the generalisability of the findings surrounding outcome and risk of bladder augmentation surgery in C&YA. Evi...
Source: International Journal of Urological Nursing - March 1, 2015 Category: Urology & Nephrology Authors: Sarah Doyle, Bernie Carter, Lucy Bray, Caroline Sanders Tags: Review Paper Source Type: research

Encrustations of the urinary catheter and prevention strategies: a literature review
ABSTRACT Patients with an indwelling urinary catheter are at risk of developing urinary tract infection: for each day of the catheter remaining in situ, there is an increasing risk from 3% to 7% for infection to appear. One of the main complications of catheterization is the onset of encrustations, frequently resulting in obstruction of the catheter. Aim of this study is to describe the problem of indwelling urinary catheter encrustation and prevention strategies. A narrative review of the literature was conducted. Indwelling urinary catheter encrustations originate more easily when urine contains high concentrations of po...
Source: International Journal of Urological Nursing - March 1, 2015 Category: Urology & Nephrology Authors: Claudia Marcone Marchitti, Mattia Boarin, Giulia Villa Tags: Review Paper Source Type: research

The Fife hormone service for prostate cancer patients: a cost‐effective and patient‐centric model
ABSTRACT Injectable hormone therapy is a key element of treatment for many patients with prostate cancer. In the UK, it is typically administered in primary care. In 2003, National Health Service (NHS) Fife rolled out an innovative service for these patients, in which responsibility was moved from primary care to a specialist nurse‐led service in secondary care. The initial rationale was based on cost savings, but a significant number of other advantages have subsequently been demonstrated. These include a simpler patient journey, improved continuity of care and reduced use of consultant time. Standards of care have also...
Source: International Journal of Urological Nursing - March 1, 2015 Category: Urology & Nephrology Authors: Lesley C Frew, Steve KW Leung Tags: Practice Development Paper Source Type: research

Teaching materials for indwelling urinary catheter management: a case study of one library in Tanzania
This study aimed to investigate the suitability of teaching materials in one Tanzanian institution on indwelling urinary catheter (IUC) management, compared with the NICE guidelines (National Clinical Guidance Centre, 2012), and to identify additional material required to complement these guidelines. A documentary review was carried out on 14 texts using 48 sub‐themes of importance in the management of IUCs. Suggestions for context‐specific additions to the NICE guidelines were identified by the author from experience, and confirmed by two nurse educators currently practising in Tanzania. Almost all the texts available...
Source: International Journal of Urological Nursing - March 1, 2015 Category: Urology & Nephrology Authors: Angela R. Savage Tags: Research Paper Source Type: research

Comparative effectiveness of combined high‐dosed Trospium and Solifenacin for severe OAB symptoms in age‐related aspect
ABSTRACT Increase of effectiveness of treatment for severe overactive bladder (OAB) symptoms in patients 40–65 and 66–80 years of aged with combined antimuscarinic drugs. This placebo‐controlled longitudinal study was performed on the basis of Regional Diagnostic Centre (Vladivostok city, Russian Federation) from 1 June 2011 to 30 December 2012. Assignment of patients (n = 299, average age: 67·1; women: 174 or 58·2%, men: 125 or 41·8%) was random blind. All patients were distributed into two age groups 40–65 and 66–80 years, and then into groups in accordance with treatment algorithm. Group A1 – pa...
Source: International Journal of Urological Nursing - March 1, 2015 Category: Urology & Nephrology Authors: Kirill Kosilov, Sergey Loparev, Liliya Kosilova, Marina Ivanovskaya Tags: Research Paper Source Type: research

Female genital mutilation (FGM) and the lower urinary tract
ABSTRACT Female genital mutilation (FGM) is defined by the World Health Organisation (WHO) as comprising various procedures which remove or damage the external female genital organs for no medical reason. FGM has no health benefits and is recognized to cause severe short and long term damage to both physical and psychological health. Although FGM is primarily performed in Africa, Asia and the Middle East, migration of FGM practising communities means that the health professionals worldwide need to be aware of the impact of FGM on health. FGM is almost always performed on children but the health implications of FGM are life...
Source: International Journal of Urological Nursing - March 1, 2015 Category: Urology & Nephrology Authors: Sarah M. Creighton Tags: Review Paper Source Type: research

Calendar of Events
(Source: International Journal of Urological Nursing)
Source: International Journal of Urological Nursing - February 20, 2015 Category: Urology & Nephrology Tags: Conference Dairy Source Type: research