Hypospadias repair: the nursing contribution

Pfeil, Michael; Parr, Joanne; Kulkarni, Milind; Mathur, Azad

doi:10.1111/j.1749-771x.2012.01152.x

Cited by 5 publications

(5 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Therefore, it appears nurses are the key health professionals recognizing a patient's deterioration during hospitalization. For patients with hypospadias, nurses prepare them for surgery by providing caregivers with information on the child's condition, resolving problems related to the urethral catheter, pain, and wounds, and providing daily support during hospitalization (Pfeil et al, 2012). Therefore, high nursing continuity may be better positioned to promptly identify changes in a patient's condition, including the aforementioned problems, and deliver timely and appropriate nursing care.…”

Section: Discussionmentioning

confidence: 99%

Section: Patient Characteristicsmentioning

confidence: 99%

“…Patients with hypospadias are typically hospitalized 7–14 days after surgery. And surgical ward nurses assigned to patients with hypospadias repair are responsible to recognize patient's wound deterioration, manage urinary catheters and give prompt nursing care if there are any related problems (Pfeil et al, 2012). Therefore, it was assumed that high nurse continuity will reduce patient complications.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The association between nurse continuity and hypospadias repair patient outcomes: A retrospective study

Choi

Han

2023

Journal of Advanced Nursing

View full text Add to dashboard Cite

BackgroundRecently, nurse continuity, the intensity and consistency of a patient's exposure to nurses during hospitalization, has been shown to be associated with patient outcomes. However, little is known about how nurse continuity is related to patients' surgical outcomes.AimsTo examine the association between nurse continuity and outcomes of hypospadias repair to clarify the importance of nurse continuity as a nursing practice.DesignThis is a retrospective study.MethodsWe analysed the data from electronic health records of patients under 1 year who had undergone proximal hypospadias repair between January 2014 and December 2016. Nurse continuity was measured using the Continuity of Care Index. Since approximately half of the patients reportedly needed further operations in the long term, the primary outcome was whether patients with proximal hypospadias repair had two or more additional operations within 3 years of discharge.ResultsThe rate of undergoing two or more follow‐up operations in 3 years was significantly higher in patients with low nurse continuity—38.6% versus 12.8% for high continuity.ConclusionThis study identified nurse continuity as an important factor related to patients' surgical outcomes. These findings suggest that nurse continuity be considered an important nursing strategy for patient outcomes and further research is needed on this topic.Impact StatementAs empirical evidence regarding the association between nurse continuity and patient outcomes grows, nurse managers and policymakers should view nurse continuity as a critical factor for positive patient outcomes when considering nursing workforce regulations.No Patient or Public ContributionThe data for this study were obtained from electronic health records, and the entire process of this study did not involve patient or public participation.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Patient Characteristicsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The association between nurse continuity and hypospadias repair patient outcomes: A retrospective study

Choi

Han

2023

Journal of Advanced Nursing

View full text Add to dashboard Cite

show abstract

“…The goal of early surgery for distal hypospadias is to improve penile appearance and promote positive psychological outcome while achieving a low‐complication rate and absence of voiding problems (Ghidini et al , ). The outcomes following hypospadias surgery maybe influenced by many factors including technical approach and surgical skill (Ratan and Ratan, ; Barbagli et al , ), suture materials (Kerstein et al , ), physiological determinates such as sustaining blood supply and tissue integrity during surgery and (Spinoit et al , ) post‐operative wound care and bladder drainage (Pfeil et al , ). Foreskin reconstruction is an option at the time of primary surgery thereby preventing the need for circumcision.…”

Section: Introductionmentioning

confidence: 99%

An evaluation study examining penile bacterial flora in boys undergoing hypospadias surgery with foreskin reconstruction

Sanders

Drew

Gerrard

et al. 2016

Int J of Uro Nursing

View full text Add to dashboard Cite

Hypospadias surgery with foreskin reconstruction is an increasingly preferred option for the management of this common condition. The objective of this study was to identify the bacterial flora present before and after cleansing of the prepuce as well as 7 d after surgery. Sixty-three boys aged between 12-14 months, with primary distal hypospadias undergoing tubularized incised plate repair, were recruited between October 2013 and April 2014. Microbiological swabs were taken pre-and post-operatively to identify organisms present under their foreskin at the time of surgery and compared with organisms present 7 d post-operatively at the time of dressing removal. A parent reported wound infection tool was used to explore parents' perception and management of their son's wound 4 weeks following surgery. Bacterial colonization of the penis was common. Routine cleansing with an alcoholic chlorhexidine solution reduced bacterial flora in 82% of boys with a positive preoperative swab result. Post-operative colonization of the penis was found in 93% of patients, wound dressing colonization was common. Two parents' reported concerns regarding their son's wound healing. Topical cleansing at the time of surgery is effective in reducing the number of organisms present under the foreskin. Despite recolonization 7 d after surgery, clinical infection remains uncommon. Complication rate 12 months after surgery was very low <2%.

show abstract

“…The results of our study also emphasized the involvement of nursing care in the setting of day surgery for hypospadias repair, which is likewise important. 11 When caregivers have an avenue to communicate with a urology nurse and the medical team, this can increase their understanding and confidence, and provide the reassurance needed to hopefully avoid unnecessary ER visits for wound checks. This was clearly shown in our study, with a significantly fewer Group A patients being brought back to the ER for wound evaluation with no interventions needed.…”

Section: Digital Communication and Postoperative Er Visitsmentioning

confidence: 99%

Impact of smartphone digital photography, email, and media communication on emergency room visits post-hypospadias repair

Chua

Saunders

Bowlin

et al. 2017

CUAJ

View full text Add to dashboard Cite

Introduction: Advances in communication technology are shaping our medical practice. To date, there is no clear evidence that this mode of communication will have any effect on unnecessary postoperative emergency room (ER) visits. We aim to evaluate the effect of email and media communication with application of smartphone digital photography on post-hypospadias repair ER visit rates. Methods: This prospective cohort study included all patients who underwent hypospadias repair performed by a single surgeon from October 2014 to November 2015. Patients were categorized into two groups: Group A consented for smartphone photography and email communication and Group B declined. Reason for ER visits within 30 days postoperatively was assessed by another physician, who was blinded of patient group assignment. The reasons were categorized as: unnecessary ER visit, indicated ER visit, or visit unrelated to hypospadias surgery. Chi-square test and T-test were used for statistical analysis. Relative risk (RR) and corresponding 95% confidence interval (CI) were also calculated. Statistical significance was set at p<0.05. Results: Over a 14-month period, 96 patients underwent hypospadias repair (81 in Group A, 15 in Group B 5). No significant difference was noted between groups for overall ER return rate (RR 0.46, 95% CI 0.21, 1.0). However, the number of ER visits for wound check not requiring intervention was significantly lower in Group A than in Group B (RR 0.14, 95% CI 0.035, 0.56); likewise, a higher number of ER visits requiring intervention was noted in Group A compared with Group B, although statistically this was not significant (RR 1.67, 95% CI 0.23, 12.21). Conclusions: Email communication with the use of smartphone digital photography significantly reduced the number of unnecessary ER visits for post-hypospadias wound checks.

show abstract

Hypospadias repair: the nursing contribution

Cited by 5 publications

References 17 publications

The association between nurse continuity and hypospadias repair patient outcomes: A retrospective study

The association between nurse continuity and hypospadias repair patient outcomes: A retrospective study

An evaluation study examining penile bacterial flora in boys undergoing hypospadias surgery with foreskin reconstruction

Impact of smartphone digital photography, email, and media communication on emergency room visits post-hypospadias repair

Contact Info

Product

Resources

About