Læknablaðið : fylgirit - 01.06.2009, Blaðsíða 38

2 7 T H CONGR SCAND ASSOC UROL
F Y L G I R I T 6 1
On the lst. of January 2009 there have been 320 operations.
The experiences were summed in January 2007 after the first
76 operations, and it showed 73% of the patients had total
continence 6 months after the operation. The empirical study
was repeated in January 2009 and here the success rate had
dropped so that only 49% of the patient had total continence 6
month after the operation.
The aim of our project has been to investigate, if the nurses at
the outpatient treatment could improve the continence degree,
by increased efforts.
The form to clarify "Continence after open radical prostatectomy"
has been developed further, and used as a guide for interviewing
the patients. Furthermore, the control of the patients
pelvic muscle practice have been intensified, and nurses or
physiotherapist have given individual guidance regarding
pelvic muscle practice according to the patients needs.
The results of the interviewing patients about their needs for
increased guidance regarding pelvic muscle practice will be
summed up as per the lst of May 2009. However, already now,
after the pilot-project with 15 patients, we can see that the
patients are very satisfied with this extra guidance.
The results of the increased efforts towards pelvic muscle
practice in regards to the level of continence are made up every
year as per the lst of January.
N-08 Pelvic floor rehabilitation treatment for post-
prostatectomy incontinence
B Pedersen', HB Jnrgensenl, BS Laursen2
'Department ofUrology, Aalborg Hospital, 2Clinical Nursing Research Unit,
Aalborg Hospital, Denmark
beritt.pedersen@rn.dk
Background: The incidence of urinary incontinence after radi-
cal prostatectomy is found to be 6%-87%. Different therapeutic
approaches have been used in this continence treatment and
studies show a continence rate between 82%-93% a year after
surgery. There is no evidence which therapeutic approach is get-
ting the best result.
Purpose: The purpose of this quality assurance study is to evalu-
ate individual pelvic muscles exercise (PME) using biofeedback
in patient with incontinence after radical prostatectomy.
Methods: From January 2009 a total of 100 men whom under-
went radical prostatectomy for clinically localized cancer will
be included. Within the first week after catheter removal they
will be instructed in PME using biofeedback and again in week
2 and 3. The first session will last one hour. The second and third
session will last Vi hour each. Before the first PME and 3, 6 and
12 month postoperative, the patients will undergo a one day 24
hours pad test.
Results and conclusion: We expect the results can give us
guidelines how to plan our pelvic floor rehabilitation treatment
for post-prostatectomy incontinence that makes us able to offer
the patients the best evidence based pelvic muscles exercise.
N-09 Nurse-supported telephone calls to men after
Robot-assisted laparoscopic prostatectomy surgery
A Hagglund, J Svens
Department of Urology, Karolinska University Hospital, Solna,
Stockholm, Sweden
anna.hagglund@karolinska.se, jessica.svens@karolinska.se
Background: At Karolinska University Hospital Solna, Sweden,
there were approximately 400 Robot-assisted laparoscopic
prostatectomy operations performed last year. These patients
are usually discharged the day after surgery with an indwelling
catheter that remains in place for seven to ten days. Due to the
short hospital stay patients are in need of further support and
advice after being discharged. Today these patients have no
organized support to turn to, so they often phone their urology
ward.
Method: In 2007 we started a follow-up through telephone calls,
3-5 days after the hospital discharge. Semi-structured questions
were asked including questions about catheter care, bowel
function and setbacks related to surgery.
Result: Decreased random telephone calls to the urology wards
as well as a positive response from patients.
Conclusions: A majority of patients expressed that they felt
more secured and better informed due to the semi structured
phone calls. This system can prevent random phone-calls to the
urology wards and unnecessary visits to the emergency clinics.
We are into the starting process of a study focusing on phone
calls as a method of support to newly operated patients.
N-10 Nurses outpatient clinic for men with lower urinary
tract symptoms. Patient acceptance and satisfaction
B Bonfils-Rasmussen, G Smidt, B Vendelbo, AL Persson, P Klarskov
Department ofUrology, Herlev Hospital, Copenhagen, Denmark
bibo@heh.regionh.dk
Introduction and aim: Nurses in the urological outpatient
clinic felt that many patients with LUTS had an unmet need
for guidance and behavioural modification. The diagnostic
program could involve a number of outpatient visits and last
2-4 months.
The aim of this study was to see if continence nurses were able
to manage a structured diagnostic setup and provide guidance
to male patients with LUTS in 2 visits to the satisfaction of the
patients.
Material and methods: Included were 114 men referred with
LUTS. The nurses recorded the medical history, arranged tests
and counselled the patient on his LUTS.
The patient completed a 32-item questionnaire on his experience
in the program. An audit of all patient records was done and a
comparison with records of 40 consecutive patients, investigated
in the previously used doctor-based set-up was made.
Results: After the nurse's investigations, approximately 80%
received advice on drinking habits, and 27% had guidance
on incontinence aids. The nurse's dialogue with the patients
reduced LUTS in 58% of the patients.
38 LÆKNAblaðið 2009/95