Læknablaðið : fylgirit - 01.06.2009, Blaðsíða 39

27TH CONGR SCAND ASSOC UROL
F Y L G I R I T 6 1
Most patients appreciated the comprehensive nurse-instigated
diagnostic program and 99% felt that the amount of information
and tests per day was appropriate. The doctor was able to
conclude on the investigation program at visit 2 and decide on
any treatment.
Conclusions: Continence nurses were able to manage a
structured diagnostic setup on male patients with LUTS, and to
counsel on behavioural modification in 2 visits. Most patients
had a high level of satisfaction with the nurse-led program.
N-11 Music during surgery in spinal anesthesia
A Gísladóttir, S Gunnarsdóttir
Landspitali, University Hospital, Reykjavík, lceland
arnfrid@landspitali.is, sigrgunn@landspitali.is
The aims of the survey: To determine the proportion of patients
interested in having music played during surgery and to
evaluate their experience of listening to music. A second aim
was to improve the nursing practice and the service available to
patients in surgery.
Material and methods: The sample consisted of all patients
undergoing Transurethral Resection of the Prostate (TURP) in
the period from October 2006 till March 2007. Patients were
offered the choice of various types of music as well as being
offered to bring a CD of their choice. After the surgery, patients
filled out a questionnaire to evaluate if they liked listening to the
music, if they felt that it alleviated stress, what they thought of
the list of music offered and if they could suggest some different
music.
Results: Of the 117 patients, in the study period, 65% chose to
participate. The majority of the patients (87%) enjoyed listening
to the music. However, 13% could not describe the effect of
music, possibly because the effect of sedative medication.
Approximately half of the patients agreed that the inclusion of
music helped to alleviate stress.
Conclusion: The results indicate that patients, who listen to
music during TURP in spinal anesthesia, experience well-being
and low anxiety. The positive reception ensures that music
will continue to be offered to these patients. We conclude that
applying Music Therapy enhances the quality of nursing and
gives more pleased patients.
N-12 Avoiding complications in percutaneous
nephrolithotomy. - A multidisciplinary team approach
I Bendixen, L Rytter, SS Osther, PJS Osther
Department ofUrology, Fredericia Hospital, Fredericia, Denmark
palle.joern.osther@slb.regionsyddanmark.dk
Aim: Percutaneous nephrolithotomy (PCNL) effectively treats
large volume renal calculi. To optimize treatment outcome and
minimize the risk of complications a multidisciplinary team
approach was established.
Material and methods: In 289 patients with branched
kidney stones 300 procedures were performed. Preoperative
selection, evaluation and treatment were performed using
a multidisciplinary team approach involving urologist, uro-
radiologist, radiological technicians and endourological trained
nurses.
Results: Complications were seen in 11% of cases: In 12 cases
(4%) significant haemorrhage occurred. Of these 10 cases
were treated conservatively with transfusions; 2 cases needed
embolisation due to development of A.V fistulae. 6 cases (2%)
developed postoperative sepsis. Postoperative pneumothorax
and haemothorax were seen in 2 and 1 case(s), respectively (1%).
In 3% of cases (9 patients) primary access failed: in 7 cases due
to abnormal kidney anatomy and in 2 cases due to abnormal
patient anatomy. 3 patients (1%) developed postoperative
cardiac complications. There were no deaths.
Conclusion: A multidisciplinary team approach including
careful patient selection, use of imaging and safe techniques
could effectively minimize complication rates in PCNL.
Authors' index
BakkeA...................................................N-01
Bendixen I...............................................N-12
Bonfils-Rasmussen B......................................N-10
BroH.....................................................N-07
Dahlin B-I...............................................N-05
Fehrling M...............................................N-06
Gísladóttir A............................................N-ll
Graugaard-Jensen C.......................................N-03
Gunnarsdóttir S..........................................N-ll
Hagglund A...............................................N-09
Hanestad B...............................................N-01
Hvistendahl GM...........................................N-03
Jorgensen HB.............................................N-08
Klarskov P...............................................N-10
Lauridsen TH.............................................N-02
Laursen BS...............................................N-08
Ljungberg B..............................................N-05
Lund-Nielsen B...........................................N-02
Mohn J.....................................................N-01
Osther PJS.................................................N-12
Osther SS..................................................N-12
Pedersen B.................................................N-08
Pedersen KV................................................N-03
Persson AL.................................................N-10
Rytter L...................................................N-12
Seyer-Hansen A-D...........................................N-03
Skou S.....................................................N-03
Smidt G....................................................N-10
Soenderby S................................................N-07
Steineck G.................................................N-04
Stranne J..................................................N-04
Svens J....................................................N-09
Thorsteinsdóttir Th K......................................N-04
Valdimarsdóttír H..........................................N-04
Vendelbo B.................................................N-10
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