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Urology

The effectiveness of the Attends Product Selector Tool in continence management in a care home setting

Before commencing the study, verbal consent was obtained from the three care home management teams for the Attends observer to review the assessments and the used products. There was no patient...

Case study highlighting cauda equina syndrome and the effects on bladder management

Cauda equina syndrome (CES) is taken from the Latin name meaning ‘horse's tail’, and describes the bundles of nerve roots that emerge from the end of the spinal cord. The nerve roots serve the...

The neurogenic bladder: developing a consensus bladder and bowel management pathway for people with MS

MS is a chronic inflammatory condition, affecting the central nervous system, which leads to the formation of lesions in the white and grey matter, as well as diffuse damage and neurodegeneration of...

Pathway for post-prostatectomy urinary incontinence: impact on patient confidence and satisfaction

A radical prostatectomy may be conducted using open surgery or a minimally invasive technique, which may be a robotic procedure (NICE, 2021). In either case, the prostatic segment of the urethra and...

Overactive bladder: not just a normal part of getting older

OAB is a clinical diagnosis based on the symptoms of urinary urgency, urge incontinence, frequency and nocturia. Bladder diaries are helpful for quantifying these symptoms and can be used to set...

Ending healthcare's over-reliance on containment products and catheters

One of the biggest issues I have noticed since working in the bladder and bowel sector is that urinary incontinence is widely normalised. You can easily buy containment products off the shelf in...

Reducing the risk of urinary tract infections in intermittent self-catheterisation users

A UTI is defined as the presence of bacteria in disproportionate levels, along with symptoms such as urinary frequency, urgency, dysuria and cystitis (National Institute for Health and Care Excellence...

Renal and ureteric stones: a clinical review

Stones form in the presence of increased urinary supersaturation, which occurs when the urine solvent contains more solutes than it can hold in solution (Khan et al, 2016). Supersaturation results in...

Increased risk of transurethral and suprapubic catheter self-extraction in COVID-19 patients: real-life experience

A total of 472 patients were hospitalised because of COVID-19 disease in the hospital during the evaluated period. Group A consisted of 48 patients, predominantly males (77%), with 9/48 patients...

Inappropriate urinary catheterisation: a review of the prevalence, risk factors and measures to reduce incidence

The most effective measure to reduce the incidence of CAUTI is to restrict the use of catheters (Gould et al, 2010; Nicolle et al, 2014). In many cases, catheterisation is simply unnecessary to...

A role that has transformed the care of patients with acute kidney injury

Alongside these intervention and support services an education programme for other health professionals has been developed, largely generated from observation of my role in practice. Consequently, I...

Chronic kidney disease and renal replacement therapy: an overview for the advanced clinical practitioner

The following broad definition of CKD from the Kidney Disease Improving Global Outcomes group (KDIGO) has been widely adopted:.

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