Men’s experiences after prostatectomy: A meta-synthesis

Effectiveness of a home care teaching program for prostatectomized patients: a randomized controlled clinical trial

“…Radical prostatectomy (RP) is considered the first choice option for patients with potentially curable prostate cancer and consists of removing the prostate and seminal vesicles by open surgery, laparoscopic or laparoscopic surgery assisted by robots (1)(2) . After performing RP, patients may experience physical and psychological changes, including painful bladder spasms, fatigue, decreased physical capacity, urinary tract infection and surgical incision, constipation, sexual impotence, urinary incontinence, anxiety and depression (1,(3)(4) . In this context, individuals submitted to RP are not always prepared for the challenges to be faced, which reinforces the need for the health team to be sensitive to the peculiarities of this care in order to offer support for male adaptation (3) .…”

<p>Personal Perspectives: Having a Prostatectomy and the Role of the Cancer Specialist Nurse</p>

“…8,9 To echo the issues we have discussed in this article, a metasynthesis of 15 studies (using meta-data-analysis, meta-method, and meta-theory) demonstrated how common physical, psychological, and social problems were after prostatectomy. 9 The collated message from this meta-study was that those undergoing prostatectomy were both physically and psychologically poorly prepared for the consequences of the procedure and that is was common to have a paucity of information and support. The authors recommended that the medical profession needs to be more alert to the provision of comprehensive patient-centered informational support as a critical component of the post-prostatectomy patient journey.…”

“…The authors recommended that the medical profession needs to be more alert to the provision of comprehensive patient-centered informational support as a critical component of the post-prostatectomy patient journey. 9 Furthermore, a recently published study with a multinational authorship assessed social support for patients after radical prostatectomy. 10 Fernández-Sola and colleagues found that patient social and professional support mitigated the common medical deficiencies in terms of lack of medical information and counseling during the peri-operative and post-operative period.…”

Nursing diagnoses and NIC interventions in adult males undergoing radical prostatectomy

“…The main negative outcomes of RP are complications such as urinary incontinence and erectile dysfunction in the medium and late postoperative periods after discharge, which significantly affect the QOL (4)(5)(24)(25) . Recent studies have reported the occurrence of urinary incontinence in around 70% of patients and erectile dysfunction in 68% of patients (3,6,24) .…”

“…In the early postoperative period, patients should be given essential information about care of the operation site, signs and prevention of bleeding and infection, pain management, management of a permanent urinary catheter at home, and the coping with physical side-effects, such as incontinence and erectile dysfunction. If the patient has family or a partner, these should be included in the education (4)(5)(6)(7)(24)(25)(26)(27)(28) . As a result of the study, we determined that in accordance with this information and the NDs established, the following NIC interventions were appropriate for all patients: "Active listening", "Counseling", "Infection protection", "Medication management", "Pelvic muscle exercise", "Self-modification assistance", and "Tube care: urinary".…”