Management of urinary incontinence after radical cystectomy and orthotopic neobladder: A scoping review of international practices.
conservative management
multimodal rehabilitation training
orthotopic ileal neobladder
radical cystectomy
surgical intervention
surgical management
urinary incontinence
Journal
Nursing open
ISSN: 2054-1058
Titre abrégé: Nurs Open
Pays: United States
ID NLM: 101675107
Informations de publication
Date de publication:
10 2023
10 2023
Historique:
revised:
17
05
2023
received:
28
09
2022
accepted:
05
06
2023
medline:
13
9
2023
pubmed:
6
7
2023
entrez:
6
7
2023
Statut:
ppublish
Résumé
To identify and describe international practice in incontinence management after radical cystectomy and orthotopic neobladder. A systematic scoping review following the methodology of the Joanne Briggs Institute was conducted in which the application searched 15 data sources to identify papers published in English, from 1979 to 2022. Of the 16 papers that met the eligibility criteria, articles in Eastern countries mainly focus on the effect of conservative treatment, while in Western countries, more attention is paid to the effect of surgical treatment. Clinical characteristics of patients included conservative treatment failure, duration of post-operative intervention and unique differential treatment of male and female patients. Reported factors influencing the achievement of urinary incontinence (UI) include lack of evidence to guide management practice, limited value of conservative treatment, high risk of surgical treatment and uncertainty of efficacy; currently, early behavioural research and multimodal rehabilitation training have good results. UI in neobladder patients is a distressing condition that is difficult to treat and often requires high-quality rehabilitation guidance and surgical intervention. Further research to address current knowledge gaps is important to inform practice.
Identifiants
pubmed: 37408112
doi: 10.1002/nop2.1924
pmc: PMC10495704
doi:
Types de publication
Systematic Review
Journal Article
Review
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
6618-6634Informations de copyright
© 2023 The Authors. Nursing Open published by John Wiley & Sons Ltd.
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