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28
TH
CONGRESS OF THE ESPU
10:00–10:10
S4-2 (LO)
COMFORT MANAGEMENT AFTER URETHRAL
MANIPULATIONS IN CHILDREN
Karen KWAK
1
, Jacqueline KNOLL
2
, Femke GLAAP-ROEVEN
2
, Robert DE GIER
2
,
Barbara KORTMANN
2
and Wout FEITZ
2
1) Radboud UMC Amalia Children’s Hospital, Paediatric Urology, Nijmegen, NETHERLANDS - 2) Radboudumc Amalia
children’s hospital, Pediatric urology, Nijmegen, NETHERLANDS
PURPOSE
Children with urological disorders need urethral manipulations (UM) regularly.
UM is a common treatment in pediatric urology and is a relative low risk operation.
In our hospital these interventions take place under anesthesia, during a day care or short stay
visit. In 2016 we performed more than 300 UM, this includes UM in urological surgeries such as
hypospadias, but also UM for children with different kind off incontinence problems.
Most children experience complications like pain, discomfort and fear to urinate for the first couple
of times after the operation, in clinic but also at home. Mostly it continues for several days, or
sometimes even for weeks.
In our opinion these “negative experiences” need to be improved, and is better comfort manage-
ment necessary.
MATERIAL AND METHODS
We have to investigate the rate of complications; facts and psychosocial impact, in order to solve
these “negative experiences” after UM.
We like to share and discuss the results, outcome and how to solve the medical problems and
psychosocial impact in an interactive workshop.
In addition to medical solutions will best practices also play a role in dealing with these experiences.
We will use international literature, guidelines, classifications and standards to support our presen-
tation and discussion.
RESULTS
The participants of the ESPU-N meeting will receive tools and learn to measure pain and how to
deal with discomfort after UM.
CONCLUSIONS
Together we will explore the nursing best practices about this issue in order to increase the quality
of care and postoperative comfort in low risk operations.