Examinando por Materia "Retención Urinaria"
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Ítem Acceso abierto Effectiveness of non-clamping versus clamping the urinary catheter prior to removal in hospitalized patients to reduce urinary retention(Universidad Privada Norbert Wiener, 2020-01-19) Medina Jiménez, Daiwa; Ricapa Medina, Cindy Janet; Pretell Aguilar, Rosa MaríaObjective: Systematize the evidence found on the effectiveness of not holding the urinary catheter before it is removed vs. holding it in hospitalized patients to reduce urinary retention. Methodology: It consists of 10 scientific articles, found on the non-fastening of the urinary catheter to reduce urinary retention, these were analyzed by the database Pubmed, Epistemonikos, Scielo, Nursing Magazine and Cochrane. Of the 10 articles examined, 60% (n=6/10) are randomized controlled trials (RCTs), 20% (n=2/10) are cohort studies, 10% (n=1/10) are systematic reviews – meta-analysis , 10% (n=1/10) in case and control design. Results: Of the 10 articles found, 70% point out the effectiveness of not clamping the urinary catheter before it is removed vs. the restraint in hospitalized patients to reduce urinary retention, 10% state that it is partially effective and 20% conclude that not restraining the urinary catheter in hospitalized patients is not effective to reduce urinary retention. Conclusion: 7 of 10 articles systematically evaluated specify the effectiveness of not holding the urinary catheter in hospitalized patients; 2 of 10 concluded that urinary catheter restraint was effective and 1 of 10 stated that it was partially effective.Ítem Acceso abierto Most frequent postoperative complications of Prostatic Adenomectomy in urological patients(Universidad Privada Norbert Wiener, 1905-07-09) Gonzales Guillén, Graciela; Colcas Vargas, Nuve Sixta; Mendigure Fernández, JulioObjective: Determine the most frequent postoperative complications of prostate adenomectomy. Material and methods: Systematic review of 10 selected articles, using the database Pubmed, Elsevier, Sciencedirect, Scielo, Redalyc, dialnet. It is a quantitative study with a descriptive, retrospective, prospective comparative, analytical and cross-sectional design. Results: The most frequent postoperative complications of adenomectomy are that 90% (n = 9/10) are urinary tract infection. 70% (n = 7/10) are urinary retention and hematuria or bleeding. The complications that represent 50% (n = 5/10) are urinary incontinence, urethral stricture, surgical wound infection, epididymitis and surgical revision. 20% (n = 2/10) is urinary fistula. Conclusion: The main factors associated with complications are urinary tract infection, urinary retention and hematuria or bleeding.Ítem Acceso abierto Reduction in complications due to early removal of the Bladder Catheter in patients undergoing Transurethral Resection of the Prostate(Universidad Privada Norbert Wiener, 1905-07-09) Jaramillo Fernández, Carmen Soledad; Salinas Aite, Virginia Elizabeth; Mendigure Fernández, JulioObjective: Systematize the available evidence on the reduction of complications with early removal of the bladder catheter in patients undergoing transurethral resection of the prostate. Material and method: It is a systematic review of 10 articles, selected, with full text identifying their quality of evidence through critical reading Caspe. The following databases were used: Lilacs, BVS, Scielo, elsevier, Cochrane. Results: 60% of the evidence has shown that early removal of the bladder catheter (within 24 hours) is safe and feasible, reducing complications such as: Bleeding, urinary tract infection, urinary retention due to bladder catheter obstruction ; It also improves the patient's quality of life, reduces hospital stay and reduces costs. 30% of the evidence indicates that there is no significant difference in the appearance of complications with early or late removal of the bladder catheter and 10% of the evidence indicates that there is a significant relationship between early removal of the bladder catheter and the development of urinary retention. Conclusions: 60% of the evidence demonstrates that early removal of the bladder catheter reduces complications in patients undergoing transurethral prostate resection.
