Læknablaðið : fylgirit - 01.06.2009, Blaðsíða 36

2 7 T H CONGR SCAND ASSOC UROL
F Y L G I R I T 6 1
N-01 Longterm follow-up and quality of life among
children and adolescents treated at a voiding school
modality
J Mohn1, A Bakke1, B Hanestad2
:Haukeland University Hospital, 2Section ofNursing Science, Department of
Public Health and Primary Health Care, University of Bergen, Norway
jannike.mohn@hclse-bergen.no
Incontinence is a key symptom and a source of embarrassment
among children with non-neurogenic voiding disorders. The
child's quality of life (QoL) can be threatened. Voiding school
has come as a multidisciplinary treatment option.
Purpose: To evaluate children's lower urinary tract symptoms
(LUTS) and health-related quality of life (HR-QoL) after void-
ing school treatment at Haukeland University Hospital, Bergen,
Norway.
Materials and methods: One to six years after treatment, 108
children were contacted.
1) Data were retrospectively collected from the children's medi-
cal records to determine their symptoms at the first consulta-
tion.
2) Children's current self-report was collected via two different
questionnaires, a voiding-related symptom questionnaire and a
HR-QoL questionnaire (KINDLN).
Results: 52 children agreed to take part: 17 girls and 35 boys,
mean age 12.8 years (median 13.0). 47% of children reported
resolution, 39% significant improvement, 12% no improvement,
2% don't know. Highest value of HR-QoL: Emotional well-
being (mean: 87/100). Poorest values: School- and Self-esteem
(69/100). There were no statistically significant differences
between genders and no statistically significant correlations
between the children's degree of current symptoms and their
perceived HR-QoL.
Conclusions: Children reported fewer symptoms. Voiding
school might be a successful treatment modality. The design of
the present study does not allow any conclusion to be drawn
regarding cause and effect.
N-02 Multidisciplinary development and planning of a new
pain relief treatment for patients in connection with radical
prostatectomy and continuous development of nursing for
this group of patients
TH Lauridsen, B Lund-Nielsen
Department ofUrology, Holstebro Hospital, Denmark
tilau@ringamt.dk, bcnie@ringamt.dk
The purpose of the project was to optimize the pain relief for
patients in connection with radical prostatectomy.
A team of two urologist, one anaesthetist and two nurses
participated in a national workshop concerning this groups of
patients. Here we received new input, new ideas and inspiration
to make a multidisciplinary project.
After the workshop the team divided the tasks between
themselves, and set a date for initiation of the project.
In order to measure whether the new treatment had a better
effect, we set up a new form for registration and documentation
of the use of medicine, VAS-scores, vital scores and general
conditions. Furthermore we revised all existing standards and
checklists.
It was of great importance to us in the planning of the project,
that it was implemented well with in all groups of professionals,
in order to get a good start.
The conclusion after operating the first 50 patients was, that the
new treatment was more effective, and the course of events for
the patients were improved.
Patients were mobilized at an earlier stage, had fewer stomach
problems and shorter admittances. We were surprised to see
that we had made a more accelerated course of events for the
patients, as this was not an aim we set out for. This however, was
a positive gratifying side effect for the patients.
We learned that without significant extra costs or resources, we
were able to perform an interesting project within our ward and
furthermore strengthen the multidisciplinary cooperation.
N-03 Urinary continence after radical prostatectomy
- Influence by the surgical method
A-D Seyer-Hansen, GM Hvistendahl, C Graugaard-Jensen, KV Pedersen,
S Skou
Dept ofUrology, Aarhus University Hospital- Skejby, Denmark
a-ds-h@hotmail.com
Aim of investigation: Urinary incontinence after radical
prostatectomy is a well known complication. Questionnaire
studies focus on incontinence based on the number of daily use
of pads. Quality and quantity measurements are missing. The
aim of the present study is to validate postoperative incontinence
by quantification of the amount of urinary leakage.
Material and methods: Patients operated in 2007 were asked
to perform a pad-weighing test for 72 hours 3, 6 and 12 months
after retro pubic radical prostatectomy (RRP) or laparoscopic
robot assisted prostatectomy (ROP), and to fill in a self
administered questionnaire. Data on BMI and age as well as life
style variables were registered. Bother score conceming urinary
incontinence was graded on a 1-10 VAS scale.
Results and discussion: A total of 133 patients were included in
the study. After 3, 6 and 12 months continence was obtained in
patients operated with ROP in 50%, 78% and 88% respectively.
The results in the RRP group were 34%, 53% and 72%. If patients
with a leakage less than 10 grams/24 hours were included the
12 months data showed 95% continence after ROP vs. 79% after
RRP. The ROP patients were both significantly younger (62.7
vs. 64.9 years) and had a lower BMI (25.0 vs. 26.4) than the RRP
patients.
Conclusions: The long term postoperative continence after
radical prostatectomy is significantly better after ROP compared
to RRP. Selection criteria may explain at least some of the
difference.
36 LÆKNAblaðið 2009/95