The morbidity associated with a TURP procedure in routine clinical practice, as graded by the modified Clavien-Dindo system.

Transurethral resection of the prostate (TURP) is considered the reference surgical method of treating benign prostatic enlargement (BPE) causing obstruction. The procedure still carries a significant risk of perioperative morbidity according to previous reports. The aim of the present study was to disclose complications after TURP undertaken in routine clinical practice at a non-academic center.

Defining and discriminating responders from non-responders following transurethral resection of the prostate.

Background: Transurethral resection of the prostate (TURP) is the reference standard surgical treatment for lower urinary tract symptoms (LUTS) related to benign prostatic enlargement. The aim of this study was to investigate the response rate following TURP in two distinctly different patient categories; men with bothersome LUTS and men in urinary retention (UR) requiring catheterisation.

Methods: In total, 355 men underwent TURP due to LUTS or UR.

Child drawings and salivary cortisol in children undergoing preoperative procedures associated with day surgery.

Background: Perioperative procedures in children can impair their emotional status negatively with stress and/or anxiety. Cortisol concentrations and drawings could be helpful in gaining information about a child's levels of stress and/or anxiety when attending the hospital for surgery.

Purpose: The purpose of this study was to determine the degree of anxiety and stress as well as to explore the association between objective measures of stress (cortisol concentration in saliva) and subjective assessment of hospital anxiety (children's drawings) as interpreted by the Swedish version of the Child Drawing: Hospital manual.

Assessing chronic pelvic pain syndrome patients: blood plasma factors and cortisol saliva.

Objective: The aim of this study was to identify changes in inflammatory molecules in the blood (plasma) of patients with chronic prostatitis/chronic pelvic syndrome (CP/CPPS) compared with controls. Altered levels indicate a systemic component by possible involvement of the prostate and/or the inner pelvic floor musculature.

Material And Methods: In 32 patients with CP/CPPS and 37 controls, blood plasma levels of testosterone, macrophage migration inhibitory factor (MIF), tumour necrosis factor-α (TNF-α), TNF-β, interleukin-2 (IL-2) and IL-1β were measured by enzyme-linked immunosorbent assay.

Prevalence of the chronic prostatitis/chronic pelvic pain syndrome among 40-69-year-old men residing in a temperate climate.

Objective: The aim of this study was to describe the prevalence of the chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) among middle-aged men in a region with a temperate climate, i.e. a community in western Sweden.

Costs associated with long-term catheter care in nursing home patients.

Objective: Approximately 8% of nursing home patients in Sweden have a long-term indwelling catheter. A catheter requires daily care and regular changes (basic care). Beyond this, significant numbers of patients are troubled by frequent complications necessitating acute catheter changes and/or rinses.

Pain associated with the chronic pelvic pain syndrome is strongly related to the ambient temperature.

Objective: There are indications suggesting that the pain associated with the chronic pelvic pain syndrome (CPPS) may be related to cold. The purpose of the present study was to evaluate how the symptom intensity reported by the patient relates to the time of the year in a temperate climate, i.e.

The chronic prostatitis/chronic pelvic pain syndrome and pain catastrophizing: a vicious combination.

Objective: This study aimed to evaluate the presence and importance of pain catastrophizing among men diagnosed with chronic abacterial prostatitis/chronic pelvic pain syndrome (CP/CPPS) in a routine clinical setting.

Material And Methods: 61 men, mean age 46 ± 11 years, with a mean CP/CPPS history of 11 ± 11 years, completed the National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI), Short-Form McGill Pain Questionnaire (SF-MPQ) and Coping Strategies Questionnaire (CSQ) to evaluate pain catastrophizing, and the International Index of Erectile Function (IIEF-5). They were also scored according to the UPOINT system.

A prospective registration of catheter life and catheter interventions in patients with long-term indwelling urinary catheters.

Objective: The aims of this study were to register the incidence of scheduled and acute urinary catheter changes and rinses (acute interventions) among nursing home patients, to relate the incidence of acute interventions to catheter material and time of catheterization, and to register the use of antibiotics for catheter-associated urinary tract infections.

Material And Methods: Catheter life and catheter-related interventions were followed prospectively for 1 year in all patients with long-term indwelling catheters in all 78 nursing homes in a county in western Sweden.

Results: Altogether, 366 patients were followed: 117 (32%) women and 249 (68%) men.

The perioperative dialogue reduces postoperative stress in children undergoing day surgery as confirmed by salivary cortisol.

Aim: To evaluate the efficacy of 'the perioperative dialogue (PD)' by analyzing salivary cortisol, in 5- to 11-year-old children undergoing day surgery.

Background:   To deal with anxiety prior to investigations and/or procedures, children need to be confident and informed about what is going to happen. Therefore, intervention strategies should be initiated before admission to hospital.

Febrile reactions after transrectal ultrasound-guided prostatic biopsy: a retrospective study.

Objective: The aim of this study was to evaluate the incidence and clinical presentation in patients with hospital admission owing to febrile infections after transrectal ultrasound-guided prostate biopsies.

Material And Methods: The case histories of the 57 patients (3.5%) who, between January 2006 and December 2009, were admitted owing to a febrile infection secondary to the 1633 transrectal prostate biopsies performed during the period were retrospectively analysed.

Urine cultures from indwelling bladder catheters in nursing home patients: a point prevalence study in a Swedish county.

Objectives: To survey the bacterial flora and antibiotic resistance in urinary strains from patients with indwelling bladder catheters residing in nursing homes within a geographically defined region.

Material And Methods: Urine was sampled for culture from 163 catheter patients (126 men and 37 women) during a 2 week period in March 2010. Susceptibility testing of the isolated bacteria was compared with all urinary strains (n = 9994) from hospitals and primary healthcare in the same geographical area cultured during the first 6 months of 2010 (control group).

Evaluation of the Swedish version of the Child Drawing: Hospital Manual.

Aim: This paper is a report of psychometric testing of the Swedish version of the Child Drawing: Hospital Manual.

Background: Drawings have shown to be useful in assessing emotional status and anxiety in children because they generally speak to us more clearly and openly through their drawings than they are willing or able to verbally.

Method: The Child Drawing: Hospital Manual was translated into Swedish according to World Health Organization guidelines (a routine procedure for translation of English instruments) in order to assess anxiety by analysing the drawings of 59 children (5-11 years), of whom nine were girls and 50 boys undergoing day surgery during 2007-2009.

Urine bladder catheters in nursing home patients: a one-day point prevalence study in a Swedish county.

Objective: The aim of this study was to register the use of long-term indwelling catheters in nursing homes in a defined geographical region, and present the indications for and duration of catheterization, catheter material and size, the time between the regular catheter changes and the number of patients with regular catheter rinses.

Material And Methods: On 16 February 2009, the 78 nursing homes in a county in western Sweden with 260 000 inhabitants reported the required information to the study centre.

Results: Of the 2625 nursing home patients (1781 women and 844 men), 50 (3%) of the women (mean age 88 years) and 135 (16%) of the men (mean age 85 years) had indwelling catheters.

Evaluation of a modification of the UPOINT clinical phenotype system for the chronic pelvic pain syndrome.

Objective: . To evaluate the recently presented six-domain UPOINT phenotype system for the chronic abacterial prostatitis/chronic pelvic pain syndrome (CPPS) and to correlate it with clinically relevant parameters such as ejaculatory pain, pain localization, erectile dysfunction, cold sensitivity and the National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI).

Material And Methods: Fifty men with CPPS were classified in each of the six UPOINT domains.

Fluorescence-guided transurethral resection of bladder cancer using hexaminolevulinate: analysis of health economic impact in Sweden.

Objective: A decision analytic model was established to estimate the budget impact on the Swedish health service of using hexaminolevulinate (HAL) in conjunction with white light cystoscopy (WLC) in the management of bladder cancer for 1 year following initial diagnosis.

Material And Methods: Flowcharts were developed to represent the diagnostic and treatment pathways for each of four risk groups for non-muscle-invasive bladder cancer (NMIBC), as defined by risk of tumour recurrence and progression. Flowcharts were based on European Association of Urology Guidelines and adjusted to current Swedish clinical practice.

Chronic abacterial prostatitis: Living with a troublesome disease affecting many aspects of life.

Objective: Chronic abacterial prostatitis/chronic pelvic pain syndrome (CP/CPPS) is a disease of yet not clarified aetiology where the symptoms, voiding dysfunction and pelvic pain are difficult to alleviate. The aim of this study is to arrive at an understanding of how it influences the individual afflicted.

Materials And Methods: Ten men with CP/CPPS were interviewed about their situation.

Controversies in chronic abacterial prostatitis/pelvic pain syndrome.

Chronic abacterial prostatitis (or prostatitis Category III according to the National Institutes of Health terminology) is subject to re-evaluation. Organizations such as the International Continence Society, the International Association for the Study of Pain and the European Association of Urology have been involved in a continuous endeavour to design a more accurate taxonomy system. The term prostate pain syndrome (PPS), as a subcategory of chronic pelvic pain syndromes, has recently been suggested as the most relevant.

Urinary cytology and nuclear matrix protein 22 in the detection of bladder cancer recurrence other than transitional cell carcinoma.

Objective: To assess the value of nuclear matrix protein-22 (NMP22), compared with urinary cytology, in predicting the recurrence of bladder cancer that is not transitional cell carcinoma (non-TCC).

Patients And Methods: We tested the sensitivity, specificity and the predictive accuracy of NMP22 in the context of non-TCC bladder cancer recurrence, and compared it to the performance of urinary cytology. The study group comprised 2687 patients with history of non-muscle-invasive bladder cancer from 10 centres across four continents.