Background: Despite enhanced recovery programmes, length of stay is variable following robotic assisted radical cystectomy (RARC). The aim of this study was to assess the impact socioeconomic deprivation on recovery following RARC.
Methods: The prospectively maintained RARC databases at two tertiary referral hospitals were reviewed from 2015 to 2017.
Complement Ther Clin Pract
February 2019
Background: and purpose: Radical cystectomy is a gold standard treatment for invasive bladder cancer. However the length of the operation is long and recovery is usually slow and painful. There is growing recognition of the importance of health related quality of life among patients undergoing invasive surgical procedures.
View Article and Find Full Text PDFThe NHS strives to create and promote a safe environment for patient care in which risks are minimised. Urinary catheterisation is a common healthcare procedure but it is an invasive intervention that carries the risk of infection. Evidence-based guidelines have been developed to minimise the risks associated with these devices and to allow healthcare professionals to implement best practice at all times.
View Article and Find Full Text PDFThis article seeks to explore the clinical practice of urinary catheter fixation. Traditionally, this area of practice has been neglected and nurses are familiar with tension lesions and dermal problems associated with inappropriate or incorrect urinary catheter fixation. A novel solution to this problem is a catheter fixation device.
View Article and Find Full Text PDFThe insertion of an indwelling urinary catheter is thought to be implicated in 80% of all urinary tract infections (UTI). In patients with an indwelling catheter, one of the most effective ways to determine whether or not there is evidence of a UTI is to aspirate a sample of urine for analysis, typically using a syringe and needle. Inevitably this puts the healthcare worker at risk of a percutaneous needle stick injury and accidental exposure to serious and potentially life-threatening viruses.
View Article and Find Full Text PDFObjective: To report the ease of removal of the Memokath 028 prostatic stent (Engineers & Doctors A/S, Hornbaek, Denmark), an important attribute of the 'ideal' prostatic stent.
Patients And Methods: Data on patients who had had a Memokath 028 stent removed in three different centres in Europe over an 8-year period were collected retrospectively. Standardized forms were used to record relevant information from each physician's patient files.
Objective: To assess the use of a thermo-expandable intraprostatic stent (Memokath(R), Engineers and Doctors A/S, Copenhagen, Denmark) for bladder outlet obstruction in men unable to undergo transurethral resection of the prostate (TURP), assessing symptoms, complications and duration of stent life.
Patients And Methods: The Memokath stent is a coil of a nickel-titanium alloy which has 'shape memory', the lower end expanding when heated to 55 degrees C. Risks associated with inserting the stent with a flexible cystoscope under local anaesthesia are minimal.
More than 13,000 new cases of bladder cancer are diagnosed in the UK each year. Haematuria is the most common presenting symptom and should always be investigated. Superficial cancers are usually treated with transurethral resection and intravesical therapy.
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