Dando voz aos homens: repercussões do viver com incontinência urinária e a prática sexual / Giving men a voice: repercussions of living with urinary incontinence and sexual practice / Dando voz a los hombres: repercusiones de vivir con incontinencia urinaria y la práctica sexual

Objetivo: compreender as repercussões da incontinência urinária na prática sexual de homens. Método: estudo descritivo, qualitativo, apoiado na teoria de Dorothea Orem, realizado em uma clínica de atenção especializada à população com incontinência urinária do Rio de Janeiro, em 2020, com 18 homens maiores de 18 anos, com esse diagnóstico médico, após aprovação pelo Comitê de Ética em Pesquisa. Para coleta dos dados, aplicou-se a entrevista semiestruturada, transcrita e submetida à análise de conteúdo. Resultados: a incontinência urinária acarreta, aos indivíduos, medo da rejeição e sentimentos de baixa autoeficácia, pois acreditam que não satisfazem seus parceiros sexuais, o que compromete os relacionamentos afetivosexuais. Bem como, interfere no desenvolvimento das atividades cotidianas ocasionando o afastamento das redes de apoio, além do sentimento de frustração e impotência, que comprometem a qualidade de vida dos homens. Conclusão: a incontinência urinária acarreta isolamento social, constrangimento, vergonha, baixa autoestima e insatisfação sexual dos homens acometidos(AU)

Objective: to understand the repercussions of urinary incontinence in the sexual practice of men. Method: descriptive, qualitative study, supported by Dorothea Orem's theory, carried out in a polyclinic in Rio de Janeiro, in 2020, with 18 men over 18 years old, with urinary incontinence, after approval by the Research Ethics Committee. For data collection, a semi-structured interview was applied, transcribed and submitted to content analysis. Results: urinary incontinence causes in individuals fear of rejection and feelings of low self-efficacy, as they believe that they do not satisfy their sexual partners, which compromises affective-sexual relationships. As well as it interferes in the development of daily activities, causing the removal of support networks, in addition to the feeling of frustration and impotence, which compromise the quality of life of men. Conclusion: urinary incontinence causes social isolation, embarrassment, shame, low self-esteem and sexual dissatisfaction in affected men(AU)

Objetivo: comprender las repercusiones de la incontinencia urinaria en la práctica sexual de los hombres. Método: estudio descriptivo, cualitativo, basado en la teoría de Dorothea Orem, realizado en una clínica de atención especializada a la población con incontinencia urinaria de Río de Janeiro, en 2020, con 18 hombres mayores de 18 años, con ese diagnóstico, después de la aprobación por el Comité de Ética en Investigación. La recolección de datos se hizo por medio de una entrevista semiestructurada, transcrita y sometida al análisis de contenido. Resultados: la incontinencia urinaria provoca miedo al rechazo y sentimientos de baja autoeficacia, ya que creen que no satisfacen a sus parejas, lo que comprometen las relaciones afectivosexuales. Además, interfiere en el desarrollo de las actividades cotidianas, provocando aislamiento de las redes de apoyo, y también sentimiento de frustración e impotencia, comprometiendo la calidad de vida. Conclusión: la incontinencia urinaria provoca aislamiento social, vergüenza, baja autoestima e insatisfacción sexual en los hombres afectados(AU)

Fatores inerentes ao surgimento da incontinência urinária no idoso hospitalizado analisados à luz da tríade donabediana / Factores relacionados al surgimiento de la incontinencia urinaria en el anciano hospitalizado analizados a la luz de la tríade donabediana / Factors inherent to the onset of urinary incontinence in the hospitalized elderly patients analyzed in the light of the Donabedian's triad

RESUMO Objetivo Apreender os fatores relacionados ao surgimento e/ou piora da incontinência urinária no idoso hospitalizado, considerando a tríade donabediana. Método Estudo qualitativo, descritivo, realizado com enfermeiros e técnicos de enfermagem de um hospital público universitário. Os dados foram coletados por meio da técnica de grupo focal; para tratamento e análise foi utilizada a análise de conteúdo, com posterior codificação das unidades de registro no software WebQDA, relacionando o corpus obtido com os pilares donabedianos. Resultados Os fatores relacionados ao surgimento e/ou piora da incontinência urinária na pessoa idosa hospitalizada mais relatados estavam interligados ao pilar estrutura, com destaque para o atributo recursos humanos, seguido dos atributos recursos materiais e estrutura física; o segundo pilar donabediano que teve maior associação com os relatos foi o pilar processo e, por último, o pilar resultado. Conclusão A identificação dos fatores relacionados ao desfecho investigado no cenário hospitalar proporcionou a reflexão e sensibilização dos participantes com relação ao problema, sendo possível, assim, propor medidas e intervenções a fim de minimizá-lo e de garantir um cuidado seguro e de qualidade ao idoso hospitalizado.

RESUMEN Objetivo Comprender los factores relacionados al surgimiento y/o agravación de la incontinencia urinaria en el anciano hospitalizado, considerando la tríade donabediana. Método Estudio cualitativo, descriptivo, realizado con enfermeros y técnicos de enfermería de un hospital público universitario. Los datos fueron reunidos por medio de la técnica de grupo focal; para tratamiento y análisis se utilizó el análisis de contenido y, luego, la codificación de las unidades de registro en el software WebQDA, haciendo un puente entre el corpus obtenido con los pilares donabedianos. Resultados Los factores relacionados al surgimiento y/o agravación de la incontinencia urinaria en los ancianos hospitalizados más relatados se refieren al pilar estructura, con énfasis en los recursos humanos; enseguida vienen los recursos materiales y estructura física; el segundo pilar donabediano con mayor relación con los relatos fue el pilar proceso y, finalmente, el pilar resultado. Conclusión La identificación de los factores relacionados al desenlace investigado en el escenario hospitalario, proporcionaron la reflexión y sensibilización de los participantes con relación al problema, por lo que propuso medidas e intervenciones para minimizarlo y garantizar un cuidado seguro y de calidad al anciano hospitalizado.

ABSTRACT Objective To apprehend the factors related to the onset and/or worsening of urinary incontinence in the hospitalized elderly patient, considering the Donabedian's triad. Method This is a qualitative, descriptive study, conducted with nurses and nursing technicians from a public university hospital. Data were collected using the focus group technique; content analysis was used for treatment and analysis, with subsequent coding of the registration units in the software WebQDA, relating the corpus obtained with the Donabedian's pillars. Results The most reported factors related to the onset and/or worsening of urinary incontinence in hospitalized elderly patients were linked to the pillar structure, with emphasis on the attribute human resources, followed by the attributes material resources and physical structure; the second Donabedian's pillar with the greatest association with the reports was process and, finally, the pillar outcome. Conclusion The identification of factors related to the outcome investigated in the hospital environment provided the participants with reflection and awareness about the problem, therefore allowing the proposition of measures and interventions to minimize it and ensure safe and quality care to the hospitalized elderly patient.

Psychological nursing intervention on anxiety and depression in patients with urinary incontinence after radical prostatectomy: A randomized controlled study protocol.

BACKGROUND: Prostate cancer (PC) is one of the most familiar disease of the male reproductive system globally. In treating the clinically localized PC, the radical prostatectomy is regarded as a gold standard, but it is associated with syndromes as urinary incontinence (UI), which can have a significant impact on patients' quality of life. Nurse takes responsibility in the management of the UI for their convenience compared with doctors to contact with patients and build better trust relationships with survivals. However, most of the studies focus on the physiological level, the psychological nursing intervention research is less. The purpose of the trial is to introduce a psychological intervention program and to study its effects on anxiety and depression after prostatectomy in IU patients. METHODS: This is a single-center randomized controlled trial that was authorized by Ethics Committee of the First People's Hospital of Chenzhou City (2020054). One hundred participants who undergo radical prostatectomy are analyzed. Inclusion criteria are the following: PC is diagnosed based on histological results; Participants in the study voluntarily sign the informed consent table; Severe UI after extubation; Patients with postoperative UI do not receive any drug treatment. Exclusion criteria are the followings: patients with the history of prostate operation; patients with the history of severe renal and liver malignancy; UI caused by reasons other than prostatectomy. The main outcomes are the degree of anxiety and depression 2 months after urinary catheter is removed. The secondary outcomes are the quality of life 2 months after urinary catheter is removed. All data are collected and analyzed by the Social Science software version 21.0 (SPSS, Inc., Chicago, IL) program. RESULTS: The relevant indexes of severe UI patients are compared in the table. CONCLUSION: Psychological nursing intervention may have a positive effect on depression and anxiety in the UI patients after receiving the radical prostatectomy.

Development and randomised controlled trial of a Continence Product Patient Decision Aid for men postradical prostatectomy.

AIMS AND OBJECTIVES: To develop and evaluate an evidence-based Continence Product Patient Decision Aid (CP-PDA) to reduce decisional conflict and support continence product choice for men postradical prostatectomy. BACKGROUND: In 2018, 1.3 million men globally were diagnosed with prostate cancer. A common treatment is radical prostatectomy, usually leading to sudden onset of urinary incontinence. For people experiencing incontinence, products to contain leakage are fundamental to health-related quality of life, but many product users and healthcare professionals are unaware of available options. No evidence-based guidance on choosing products exists despite known physical and psychological burdens of poorly managed leakage (e.g. isolation, anxiety, depression, skin damage). DESIGN AND METHODS: 4 phases, underpinned by international decision aid guidance. Evidence/expert opinion: Literature review; consultation with specialist continence clinicians (n = 7) to establish evidence base. Prototype: CP-PDA developed with continence specialist (n = 7) feedback. Alpha testing (stakeholders): CP-PDA materials were provided to expert patients (n = 10) and clinicians (n = 11) to assess content/presentation. Beta testing (field) following CONSORT guidelines, registered NIHR CPMS 31077: Men (n = 50) postradical prostatectomy randomised to evaluate usability and decision-making using the Decisional Conflict Scale compared with usual care. RESULTS: An algorithm differentiating patients by mobility, dependency, cognitive impairment and type/level of leakage, leading to 12 user groups, was developed. For each group, an option table and associated product information sheets guide product choice. Total Decisional Conflict Score for men using the CP-PDA was significantly better than for men without. CP-PDA users reported greater confidence in product knowledge and choice. CONCLUSION: This is the first evidence-based CP-PDA, developed using an internationally recognised method. Compared to usual care, it significantly reduced decisional conflict for men choosing continence products postprostatectomy. RELEVANCE TO CLINICAL PRACTICE: The CP-PDA provides nurses with the first comprehensive, evidence-based intervention to help postprostatectomy men in complex continence product choices. An online version is available: www.continenceproductadvisor.org.

A Survey of Turkish Nurses' Knowledge of Incontinence-Associated Dermatitis.

PURPOSE: The purpose of this study was to determine the knowledge of incontinence-associated dermatitis (IAD) among nurses working in intensive care units. DESIGN: Descriptive study. SUBJECTS AND SETTING: The study was conducted in 6 intensive care units of a 550-bed academic research hospital in Turkey. Licensed practical and registered nurses with a minimum of a Bachelor of Science in Nursing degree employed full-time on these units were invited to participate. METHODS: The survey consisted of statements that examined the demographic characteristics (14 questions) and knowledge levels (59 statements) of the nurses. For each statement, nurses were required to mark only one of the following options: "correct," "incorrect," or "no knowledge." Data were collected from July to September 2016. The Shapiro-Wilk test, Mann-Whitney U test, Kruskal-Wallis H test, post hoc multiple comparison test, and Spearman's correlation coefficient were used to analyze the data. RESULTS: Of the 126 RNs who participated in the study, 46.83% (n = 59) had an undergraduate degree in nursing. The majority (29.37%) practiced in gastroenterology surgery and urology intensive care units. The mean knowledge score was 33.05 ± 10.16 (min = 0, max = 59). The most correctly answered statement (94.44%; n = 119) was "The pH of the skin plays a role in skin barrier function." The statement with the most incorrect or "no knowledge" answers (96.03%; n = 120) was "The natural moisturizing factor found in the structure of corneocytes helps the skin to maintain its oil levels." Based on correctly answered statements, we found knowledge levels of the prevention and treatment of IAD were higher among nurses with a master of science degree in nursing (40.67 ± 4.32) and lower among licensed practical nursing (29.12 ± 10.08) (P < .05). CONCLUSION: In this study, knowledge of the nurses on identification, prevention, and treatment of IAD was low. Comprehensive basic nursing education and in-service training programs on IAD are recommended.

Evaluation and current treatments for urinary incontinence.

Although aging and urinary incontinence are often associated, urinary incontinence is not a normal part of aging. As the population ages, the challenge of urinary incontinence will place a greater demand on the healthcare system. NPs can effectively direct treatments to mitigate the symptoms of urinary incontinence, improving patient quality of life.

Post-prostatectomy incontinence: multimodal modern-day management.

As the rate of prostate cancer detection increases, so does the rate at which radical prostatectomy is performed. Post-prostatectomy incontinence (PPI) or urine leakage affects around 20% of men who undergo this procedure. Although affected individuals must be supported in maintaining hygiene with the use of urine capture devices, definitive treatment should also be offered if appropriate. A range of management options are available, from incontinence pads to artificial urinary sphincters. However, an understanding of the aetiology of the leak as well as patient factors is vital if the correct treatment option is to be selected. This article describes the potential causes of PPI and explores management options for this condition.

As repercussões causadas pela incontinência urinária na qualidade de vida do idoso / The urinary incontinence repercussions towards the elderly's life quality / La repercusión causados por incontinencia urinaria en calidad de vida de anciano

Objetivo: Analisar as repercussões causadas pela incontinência urinária na qualidade de vida dos idosos. Métodos: Pesquisa descritiva e exploratória, com abordagem qualitativa, composta por 12 idosos. A coleta de dados foi realizada por meio de entrevistas, em um ambulatório de urologia e ginecologia de um hospital público/escola de referência em Teresina. Os dados foram interpretados pela análise temática de conteúdo. Resultados: Os depoimentos originaram duas categorias: sentimentos negativos dos idosos com incontinência urinária e aspectos sociais que interferem na qualidade de vida dos idosos com incontinência urinária. Conclusão: A incontinência urinária nos idosos é uma patologia pouco discutida nas consultas, a baixa escolaridade dos idosos influencia na demora em procurar o tratamento para a doença e esclarecimento da mesma. Há a necessidade de um olhar diferenciado por parte dos profissionais de saúde para os idosos acometidos com esta patologia

Objective: The study's aim has been to analyze the urinary incontinence repercussions towards the elderly's life quality. Methods: It is a descriptive-exploratory study with a qualitative approach, which was comprised by 12 participants from both genders. The research scenario was a urology and gynecology ambulatory from a large public hospital/school that performs procedures of high complexity and etiology in Teresina city, Piauí State. Data analysis occurred through the thematic content analysis. Results: The statements gave rise to two categories, as follows: the elderly's negative feelings related to urinary incontinence; and, the social aspects that impact in the quality of life of elderly people bearing urinary incontinence. Conclusion: The urinary incontinence in elderly people is a poorly discussed pathology during consultations. Furthermore, the elderly's low level of education ends up influencing them in realizing the necessity of looking for understanding and treatment about the disease. Conclusively, health professionals must have a different perspective with regards to the elderly people bearing this pathology

Objetivo: Analizar las repercusiones causadas por la incontinencia urinaria en la calidad de vida de los ancianos. Métodos: Investigación descriptiva y exploratoria, con abordaje cualitativo, compuesta por 12 ancianos. La recolección de datos fue realizada por medio de entrevistas, en un ambulatorio de urología y ginecología de un hospital público / escuela de referencia en Teresina. Los datos fueron interpretados por el análisis temático de contenido. Resultados: Los testimonios originaron dos categorías: sentimientos negativos de los ancianos con incontinencia urinaria y aspectos sociales que interfieren en la calidad de vida de los ancianos con incontinencia urinaria. Conclusión: La incontinencia urinaria en los ancianos es una patología poco discutida en las consultas, la baja escolaridad de los ancianos influye en la demora en buscar el tratamiento para la enfermedad y aclaración de la misma. Hay necesidad de una mirada diferenciada por parte de los profesionales de la salud para los ancianos afectados con esta patología

Male External Catheter in Adults: a glance at nursing care practice / Cateter Urinario Externo Masculino: una mirada sobre la práctica asistencial de la Enfermería / Cateter Urinário Externo Masculino: um olhar sobre a prática assistencial da Enfermagem

ABSTRACT Objective: to describe the patients care in the use of the Male External Catheter in Adults in a clinical-surgical hospitalization unit. Method: a cross-sectional study. Evaluation of 30 patients hospitalized in clinical-surgical units to collect items related to the specific care provided. Results: 100% had no reference to the use of external catheter in the evolution of the nurse; 43.3% of the assistants or technicians recorded; 36.6% presented skin lesions; 100% had a latex device attached with adhesive tape; 90% were not submitted to hair removal; 96.7% had daily genital hygiene; 70% received no guidance at all. Conclusion: no individualized evaluation was observed for the use of the device, nursing records did not include prescription and description of installation and care, latex device and micropore paper adhesive tape were predominant; skin lesions were prevalent, hygiene and exchange were adequate, few patients were advised regarding the use of the device.

RESUMEN Objetivo: describir la asistencia a los pacientes en uso del Cateter Urinario Externo Masculino en una unidad de internación clínico-quirúrgica. Método: estudio transversal. Evaluación de 30 pacientes internados en unidades clínico-quirúrgicas para el levantamiento de ítems relacionados al cuidado específico prestado. Resultados: el 100% no tuvo referencia del uso de catéter externo en la evolución del enfermero; el 43,3% de los auxiliares o técnicos realizaron anotaciones; el 36,6% presentó lesión de la piel; el 100% estaba con dispositivo de látex fijado con cinta adhesiva; el 90% no fue sometido a la remoción de los pelos; el 96,7% realizó higiene genital diariamente; el 70% no recibió ningún tipo de orientación. Conclusión: no se observó una evaluación individualizada para el uso del dispositivo, los registros de Enfermería no contemplaron prescripción y descripción de instalación y cuidados; el dispositivo de látex y la cinta adhesiva microporosa fueron predominantes; las lesiones de la piel fueron prevalentes, la higiene y el cambio fueron adecuados, y pocos pacientes fueron orientados en cuanto al uso del dispositivo.

RESUMO Objetivo: descrever a assistência aos pacientes em uso do Cateter Urinário Externo Masculino em unidade de internação clínico-cirúrgica. Método: estudo transversal. Avaliação de 30 pacientes internados em unidades clínico-cirúrgicas para levantamento de itens relacionados ao cuidado específico prestado. Resultados: 100% não teve referência do uso de cateter externo na evolução do enfermeiro; 43,3% dos auxiliares ou técnicos realizaram anotação; 36,6% apresentaram lesão de pele; 100% estava com dispositivo de látex fixado com fita adesiva; 90% não foram submetidos à remoção dos pelos; 96,7% tiveram higiene genital diariamente; 70% não receberam nenhum tipo de orientação. Conclusão: não se observou avaliação individualizada para uso do dispositivo, os registros de enfermagem não contemplaram prescrição e descrição de instalação e cuidados, dispositivo de látex e fita adesiva microporosa foram predominantes; lesões de pele foram prevalentes, higiene e troca foram adequadas, poucos pacientes foram orientados quanto ao uso do dispositivo.

Avaliação urodinâmica em idosas com incontinência urinaria: um relato de experiência a partir da consulta de enfermagem / Urodynamic evaluation in elderly women with urinary incontinence: a report of experience from the nursing consultation

Importância da consulta de enfermagem a mulheres idosas com incontinência urinaria em avaliação urodinâmica, proporcionando uma melhor compreensão do perfil clinico destas pacientes, desenvolvendo um cuidado assistencial sistemático dinâmico e adequado ao ambiente do exame em que a mulher idosa está inserida. Nesta experiência, valorizou-se o acolhimento, a acessibilidade à informação, conhecimento prévio ao exame e o cuidado empoderador, envolvendo a paciente em uma participação ativa nas ações de cuidados realizados, minimizando-se a ansiedade e o medo pela realização do exame EUD. Enfatiza-se a importância de novas pesquisas nessa área com vistas a contribuir para a visibilidade da sistematização da assistência de enfermagem para valorização do enfermeiro e de seu papel na compreensão de necessidades de saúde a serem atendidas por meio do planejamento de intervenções de enfermagem

Construção de instrumento para consulta de enfermagem à idosa com incontinência urinária de um serviço ambulatorial / Construction of an instrument for nursing consultation for older women with urinary incontinence of an outpatient service

A presente proposta decorre de uma pesquisa que tem como objetivo construir um instrumento para consulta de Enfermagem a idosa com incontinência urinária assistida em um serviço ambulatorial. Essa pesquisa foi motivada pela necessidade de uma ferramenta que facilite o registro da prática profissional, evidenciando desta forma a contribuição da enfermagem no cuidar da paciente com incontinência urinaria. Acredita-se que a elaboração do instrumento pode fomentar futuras investigações e ser utilizado na prática assistencial em caráter experimental, bem como agregar conhecimento acerca da documentação profissional, evidenciando a Enfermagem enquanto profissão e ciência

Compassion in continence care.

I was on placement on a surgical ward in my second year of training when I helped to care for a patient, who I will call Peter, who had recently undergone surgery for a hernia repair.

Urinary incontinence and its management in patients aged 65 and older in orthopaedic care - what nursing and rehabilitation staff know and do.

AIMS AND OBJECTIVES: To describe what nursing and rehabilitation staff know and do with regard to urinary incontinence and risk of urinary incontinence in patients 65 years or older undergoing hip surgery. BACKGROUND: Urinary incontinence is a common but often neglected issue for older people. Despite the existence of evidence-based guidelines on how to assess, manage and prevent urinary incontinence, there are indications that these guidelines are not applied in hospital care. DESIGN: A qualitative study with descriptive design was conducted in two orthopaedic units. METHODS: Forty-six interviews and 36 observations of care were conducted from January-October 2014 and analysed with qualitative content analysis. RESULTS: Enrolled nurses performed most of the care related to bladder function, with focus on urinary catheterisation and preventing urinary tract infection and urinary retention. Registered nurses' role in urinary matters mainly comprised documentation, while the rehabilitation staff focused on making it possible for the patient to be independent in toileting. The nursing staff considered urinary incontinence a common condition for older people and that it was convenient for the patients to have an indwelling catheter or incontinence pad/pant, although they acknowledged some of the risks associated with these procedures. CONCLUSIONS: Urinary incontinence is not a priority in orthopaedic care, and urinary incontinence guidelines are not applied. Further, attitudes and actions are mainly characterised by a lack of urinary incontinence knowledge and the nursing and rehabilitation staff do not take a team approach to preventing and managing urinary incontinence. RELEVANCE TO CLINICAL PRACTICE: An increased focus on knowledge on urinary incontinence and evidence-based guidelines is needed. To secure evidence-based practice, the team of nursing and rehabilitation staff and managers must be aligned and work actively together, also including the patient in the team.

Essentials in Return to Work Issues: A Manufacturing Worker With Prostate Cancer.

To manage potential disabilities, the occupational and environmental health nurse has an extensive understanding of disability issues, provides functional worker assessments, and meets business requirements. They appropriately assess worker health issues and offer creative solutions to address both worker and business needs.

Supporting women with toileting in palliative care: use of the female urinal for bladder management.

AIMS AND OBJECTIVES: This study explored whether a female urinal is an acceptable, safe and effective product to meet the toileting requirements of women receiving palliative care on oncology wards in hospitals. BACKGROUND: There is minimal evidence on how urinary incontinence should be managed in women receiving palliative care. Female urinals may present an option. There have been two general reviews of products, but no formal evaluation since 1999. METHODS: This qualitative interview study used semi-structured interviews. Eleven healthy volunteers, 9 patients and 7 staff members used (or assisted with) a VernaFem (Vernacare) female urinal and were subsequently interviewed. Directed content analysis was used to analyse the interviews. RESULTS: User testing confirmed that the VernaFem is an acceptable, safe and effective product. Design improvements were suggested. CONCLUSIONS: While unlikely to be suitable for all patients, hospitals should consider offering a female urinal to patients in receipt of palliative care.

Patient Satisfaction With Nurse-Led Telephone Follow-up in an Ambulatory Setting.

OBJECTIVES: We studied our practice of using nurse telephone follow-up under physician direction to assess symptom improvement and patient satisfaction. METHODS: Women were recruited when their clinical care merited nurse telephone follow-up in the opinion of the attending physician. Women specified a preferred telephone number and completed a symptom questionnaire at the time of enrollment. Nursing telephone follow-up was completed at an interval prescribed by the attending physician to answer specified clinical questions. Approximately 3 months after the initial in-office visit, a satisfaction questionnaire and repeat symptom measure were mailed to the subjects. RESULTS: A convenience sample of 83 women was analyzed. Of those, 91.6% were reached by telephone, and 47.0% returned the follow-up questionnaire. Mean (SD) age was 56.8 (16.6) years (range, 20-89 years). Younger women were less likely to be able to be contacted by telephone (P = 0.02) and less likely to return the questionnaire (P = 0.02). Most common diagnoses were overactive bladder and mixed urinary incontinence. Satisfaction rates were high, and level of convenience for patients was high. Women indicated an ease of speaking over the telephone about their condition and confidence in the treatment plan. Satisfaction with telephone follow-up did not significantly differ based on age or diagnosis. CONCLUSIONS: Patient satisfaction was high for nurse telephone follow-up to replace in-office visits for selected diagnoses. This care strategy deserves further consideration for reimbursement purposes as health care evolves.

'I could not have survived without Kelly and her team'.

With her team of unsung heroes at Sandwell General Hospital in the West Midlands, Kelly carries out sterling work in the aftercare of patients with bowel cancer, rectal cancer and other debilitating aspects of incontinence.

Validação da versão brasileira do Gaudenz-Fragebogen: utilizado para o diagnóstico diferencial da incontinência urinária feminina / Validation of the brazilian version of the Gaudenz-Fragebogen: used in the differential diagnosis of female urinary incontinence / Validación de la versión brasileña del Gaudenz-Fragebogen: utilizado en el diagnóstico diferencial de la incontinencia urinaria femenina

Objetivo: Validar a versão brasileira do Gaudenz-Fragebogen, utilizado no diagnóstico diferencial da incontinência urinária feminina de esforço e de urgência. Métodos: A confiabilidade foi conferida por meio da aplicação do teste-reteste em 60 mulheres. Para a avaliação da validade de critério concorrente os diagnósticos, baseados nos escores do questionário adaptado, foram comparados com o estudo urodinâmico (padrão-ouro), em 116 mulheres com incontinência urinária. Resultados: O questionário demonstrou ser confiável e apresentou estabilidade. A sensibilidade e especificidade para o diagnóstico da incontinência urinária de esforço foram 9,0% e 96,7%, e para a de urgência de 44,7% e 70%, respectivamente. Conclusão: O questionário é confiável e estável, e pode ser indicado para compor as fases que antecedem o diagnóstico final. Entretanto, não é recomendável a sua utilização como único recurso para determinar o diagnóstico diferencial da incontinência urinária feminina.

Objective: To validate the Brazilian version of the Gaudenz-Fragebogen questionnaire, used in the differential diagnosis of femalestress and urge urinary incontinence. Methods: Reliability was validated through the application of test-retest in 60 women. Forthe evaluation of the concurrent validity criterion, the diagnoses-based on the questionnaire's adapted scores-were comparedto the urodynamic study (gold standard) in 116 women with urinary incontinence. Results: The questionnaire was found to bereliable and showed stability. The sensitivity and specificity for the diagnosis of stress urinary incontinence were 9.0% and 96.7%,and for urge urinary incontinence, 44.7% and 70% respectively. Conclusion: The questionnaire is reliable and stable, and it issuitable to be included in the phases that precede the final diagnosis. However, its use is not recommended as a single resourceto determine the differential diagnosis of female urinary incontinence.

Objetivo: Validar la versión brasileña del Gaudenz-Fragebogen, utilizado en el diagnóstico diferencial de incontinencia urinariafemenina de esfuerzo y urgencia. Métodos: La fiabilidad fue validada a través de la aplicación de teste-reteste en 60 mujeres.Para la evaluación del criterio de validez concurrente, los diagnósticos basados en puntajes del cuestionario adaptado, fueroncomparados con el estudio urodinámico (patrón oro) en 116 mujeres con incontinencia urinaria. Resultados: El cuestionariodemostró ser confiable y presentó estabilidad. La sensibilidad y especificidad para el diagnóstico de incontinencia urinaria deesfuerzo fueron 9,0% y 96,7%, y para la incontinencia urinaria de urgencia fueron 44,7% y 70%, respectivamente. Conclusión:El cuestionario es fiable y estable, y es adecuado para ser incluido en las fases que preceden diagnóstico final. Sin embargo, suuso no se recomienda como un único recurso para determinar el diagnóstico diferencial de la incontinencia urinaria femenina.