Intervenções de enfermagem para incontinência urinária e disfunção sexual após prostatectomia radical

Gomes, Cássia Regina Gontijo; Eduardo, Aline Helena Appoloni; Mosteiro-Díaz, Maria Pilar; Pérez-Paniagua, Javier; Napoleão, Anamaria Alves

doi:10.1590/1982-0194201900015

Cited by 7 publications

(4 citation statements)

References 25 publications

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“…Several factors such as deficiency of the internal and external sphincters of the urethra, bladder dysfunction, and weakness of pelvic floor muscles may be implicated in the occurrence of UI in patients submitted to RP. 13 During surgery, the sphincters may be injured; in addition, the external urethral sphincter may already be weakened due to the period in which the urethra was compressed by the enlarged prostate. 13 The incidence of UI-associated FI, called double incontinence, may justify the impact on the patient's QOL, because the presence of double incontinence is related to depressive symptoms in men.…”

Section: Discussionmentioning

confidence: 99%

“…13 During surgery, the sphincters may be injured; in addition, the external urethral sphincter may already be weakened due to the period in which the urethra was compressed by the enlarged prostate. 13 The incidence of UI-associated FI, called double incontinence, may justify the impact on the patient's QOL, because the presence of double incontinence is related to depressive symptoms in men. 11 Since the scores that assess LUTS and FI correlate with the scores that measure QOL, it has been demonstrated that the intensity of both directly affects the patient's life, but there is a greater impact on QOL related to the intensity of urinary symptoms.…”

Section: Discussionmentioning

confidence: 99%

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Association between Fecal Incontinence and Lower Urinary Tract Symptoms and their Impact on the Quality of Life of Patients with Prostate Cancer

Azevedo

Abreu

2022

Journal of Coloproctology

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Objective To evaluate the association of fecal incontinence (FI) and lower urinary tract symptoms (LUTS) in patients diagnosed with initial prostate cancer (PC) and after any therapeutic approach (surgery and radiotherapy). Methods Cross-sectional study using the Cleveland Clinic Incontinence Score (CCIS), the Fecal Incontinence Quality of Life (FIQL) questionnaire, and the International Consultation on Incontinence Questionnaire Overactive Bladder (ICIQ-OAB). Results A total of 84 patients with PC were included: 40 of them had not started treatment, 31 were submitted to radical prostatectomy (RP), and 13 were submitted to radiotherapy (RT). Those submitted to RT presented higher scores on the ICIQ-OAB (p = 0.01). When comparing the whole sample reagarding the patients with and without FI, we observed that the incontinents presented a higher frequency of urinary incontinence (UI) (p < 0.001). Moreover, when comparing patients with/without FI within their treatment groups regarding the presence of UI and FIQL scores, we identified that patients undergoing RP presented an association between UI and FI (p < 0.001) and a greater impact of FI on the FIQL (p < 0.001). Conclusion Patients submitted to RT present more intense LUTS. Moreover, patients with FI present a higher association with UI, and this association is more marked in those with FI submitted to RP.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Association between Fecal Incontinence and Lower Urinary Tract Symptoms and their Impact on the Quality of Life of Patients with Prostate Cancer

Azevedo

Abreu

2022

Journal of Coloproctology

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“…O TMAP é indicado para ambos os sexos; nos homens é uma estratégia para o alcance da continência e melhora do desempenho sexual, visto que ambos são prejudicados por lesões dos feixes nervosos na região pélvica decorrentes da prostatectomia (GOMES et al, 2019). O TMAP pode ser associado com aparelhos de biofeedback para auxiliar o paciente a visualizar o tônus, contrações e relaxamento da sua MAP; com aparelhos de eletroestimulação, para auxiliar o paciente a contrair e relaxar a MAP, bem como na percepção sensível-própriocepção da musculatura; e com cones vaginais, que fornecem pesos a serem sustentados, contribuindo com a hipertrofia muscular (PREDA; MOREIRA, 2019;ABRAMS et al, 2017).…”

Section: Tratamento De Reabilitação Da Mapunclassified

“…Em homens prostatectomizados é frequente a ocorrência de IU; dessa forma, o enfermeiro tem papel muito importante na educação em saúde deste paciente, mantendo acompanhamento contínuo e orientando, além de TMAP, intervenções como a adoção de uma dieta saudável, prática de atividades físicas e cessar o tabagismo (GOMES et al, 2019).…”

Section: Tratamento Comportamentalunclassified

Sistematização da assistência de enfermagem e processo de enfermagem no Brasil.

Machado¹,

Dias²,

Adamy³

et al. 2022

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Este livro nasceu da iniciativa de um encontro de coordenadores de ligas acadêmicas voltada à Sistematização da Assistência de Enfermagem (SAE) e o Processo de Enfermagem (PE) de várias regiões do Brasil. Apresentam-se 82 autores, dentre eles estudantes de graduação em enfermagem, enfermeiros assistenciais e enfermeiros docentes dos cursos de graduação em enfermagem, oriundos das cinco regiões geográficas do Brasil. Possui 12 importantes capítulos nos quais é versado sobre a Sistematização da Assistência de Enfermagem e o Processo de Enfermagem, tendo relatos de experiência sobre atividades de ensino, pesquisa e extensão universitária.

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The effect of nursing interventions on urinary, bowel and sexual dysfunction among post‐radical prostatectomy patients

Taleb

Sameh

Tolba

et al. 2022

Int J of Uro Nursing

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Prostate cancer is one of the commonest types of cancer in men worldwide. The primary treatment option for localized prostate cancer is radical prostatectomy.Unfortunately, a considerable proportion of men may experience long-term post-surgical sequelae is to determine the effect of nursing interventions on urinary, bowel, and sexual dysfunction among post-radical prostatectomy patients. A quasi-experimental (one group, pre-test-post-test) research design.We included 30 post-radical prostatectomy patients in this study. Each patient was interviewed in five sessions. During these sessions, the information about the complications of RP, pelvic floor exercise training and sexual rehabilitation was given. International Consultation on Incontinence Questionnaire-Urinary Incontinence-Short Form (ICIQ-UI-SF), The Revised Faecal Incontinence Scale (RFIS) and Sexual Health Inventory for Men (SHIM) were used to evaluate the effect of nursing interventions. The study results demonstrate that the incidence of urinary and sexual dysfunction is high among patients post-radical prostatectomy patients. Fortunately, urinary and sexual dysfunctions were improved post-implementation of nursing intervention with statistically significant differences (p-value <0.05). The incidence of faecal incontinence was 16.7% while it was 13.3% post-nursing implementation with no statistically significant differences. Nursing intervention is effective in the management of urinary incontinence after radical prostatectomy within a short period time while the improvement in sexual dysfunction may need more time.

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Intervenções de enfermagem para incontinência urinária e disfunção sexual após prostatectomia radical

Cited by 7 publications

References 25 publications

Association between Fecal Incontinence and Lower Urinary Tract Symptoms and their Impact on the Quality of Life of Patients with Prostate Cancer

Association between Fecal Incontinence and Lower Urinary Tract Symptoms and their Impact on the Quality of Life of Patients with Prostate Cancer

Sistematização da assistência de enfermagem e processo de enfermagem no Brasil.

The effect of nursing interventions on urinary, bowel and sexual dysfunction among post‐radical prostatectomy patients

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