ABSTRACT
Cystectomy is a complex procedure with a tenuous perioperative course. Enhanced recovery programs (ERPs) are bundle strategies, developed to enhance the recovery of surgical patients. This article outlines the components of an ERP for cystectomy patients from a nursing implementation perspective.
Subject(s)
Cystectomy/nursing , Ostomy/nursing , Pain, Postoperative/nursing , Perioperative Care/nursing , Urinary Bladder Neoplasms/surgery , Urinary Diversion/nursing , Clinical Protocols , Humans , Length of Stay , Pain Management , Urinary Bladder Neoplasms/nursingABSTRACT
This article presents findings from a randomized trial of intra-urethral lidocaine versus a plain lubricating gel for pain reduction in men undergoing flexible cystoscopy. Compared with the plain gel, use of lidocaine resulted in significantly less pain during the procedure.
Subject(s)
Acute Pain/prevention & control , Anesthetics, Local/administration & dosage , Cystoscopy/methods , Cystoscopy/nursing , Lidocaine/administration & dosage , Lubricants/administration & dosage , Aged , Aged, 80 and over , Gels/administration & dosage , Humans , Male , Specialties, NursingABSTRACT
Interstitial cystitis (IC) is a chronic inflammatory condition characterized by urinary frequency, urgency, and pain in the bladder or pelvis that for some can be debilitating. At present, IC is without cure, yet various management modalities are available. This article provides a general overview of the history, symptoms, diagnosis, and treatment of IC. A specific case study that focuses on a surgical management option is highlighted.
Subject(s)
Cystitis, Interstitial/surgery , Urinary Diversion/nursing , Cystitis, Interstitial/diagnosis , Cystitis, Interstitial/therapy , Female , Humans , Middle Aged , Perioperative Care/nursing , Urinary Diversion/rehabilitationABSTRACT
Schistosomiasis is a parasitic infection caused by trematodes (flatworms). It is second only to malaria in public health significance, with an estimated 200 million people infected worldwide. Schistosoma haematobium is endemic in Africa and the Middle East. This case study discusses a 36-year-old Somalian male who immigrated to a Northeastern city in the United States from a refugee camp in Kenya. He presented with episodic gross hematuria and flank pain, and was eventually diagnosed with urinary tract schistosomiasis, which was successfully treated with praziquantel. While the disease is not common in the United States, this case is presented for both its urological and cultural considerations.
Subject(s)
Schistosomiasis haematobia , Adult , Anthelmintics/therapeutic use , Flank Pain/etiology , Hematuria/etiology , Humans , Male , Praziquantel/therapeutic use , Refugees , Schistosomiasis haematobia/complications , Schistosomiasis haematobia/diagnosis , Schistosomiasis haematobia/drug therapy , Schistosomiasis haematobia/physiopathology , Somalia/ethnology , United StatesABSTRACT
The management of prostate cancer includes observation, hormonal therapy, radical prostate surgery (open, laparoscopic, or laparoscopic robotic), external beam radiation, brachytherapy, or cryotherapy. Laparoscopic radical robotic prostatectomy is the newest technology in minimally invasive surgery. This is a case study of a patient who chose to undergo laparoscopic robotic prostatectomy for his prostate cancer.
