Post-Prostatectomy Incontinence and Nursing Care: An Integrative Review

Abstract

Objective: To identify nursing actions corresponding to assistance in post-prostatectomy urinary incontinence (PPUI). Method: This is an integrative review conducted in PubMed Central, ScienceDirect, Scopus and Web of Science, using the English terms “post-prostatectomy incontinence” and “nursing care,” combined with the Boolean operator AND. Articles published as full text or articles in press, within the open access system, without distinction of languages or year of publication, were included. Results: The initial search found 477 papers, but only six met the eligibility criteria. The five types of nursing actions identified were pelvic floor muscle training; urine stream interruption test with Unit Under Test timer; psychological nursing intervention program;telephone nursing support;and continuous post-prostatectomy nursing care, together with the previous interventions. Most studies showed good methodological quality and low risk of bias. Conclusion: The present review allowed the identification of different types of management of PPUI by nursing, even considering that the scenario of studies on the area is still scarce. It is expected that this review may be useful for the development of quality nursing care protocols for PPUI.

Fatores de risco para lesões periestomais em estomas de eliminação: Um protocolo de revisão sistemática e metassíntese

“…Regarding the name and type of ostomy, they differ depending on the part of the body involved. There is the tracheostomy, which involves the opening of the trachea; the gastric stoma, known as gastrostomy; urinary stomas, called urostomies, which can be classified as nephrostomy, ureterostomy, and cystostomy; and intestinal stomas, including jejunostomy, ileostomy, and colostomy (1,3,6,7) . Elimination stomas are classified as either intestinal or urinary.…”

“…They can be permanent, involving amputation of the affected segment, or temporary, used to protect the bowel (4) . On the other hand, urinary stomas or urostomies involve the creation of an opening in the urinary tract through the abdomen to eliminate urine (6) . As a result, these stomas can lead to complications, with rates exceeding 70%.…”