Objective:To investigate the effect of negative pressure treatment combined with pelvic floor muscle training on urinary continence and sexual function of patients with prostate cancer (PCa) after radical prostatectomy.Methods:From October 2016 to April 2019, in the Third Affiliated Hospital of Sun Yat-sen University 70 patients were diagnosed with prostate cancer and underwent laparoscopic radical prostatectomy. According to the random number table method, they were divided into intervention group and control group, 35 cases each. The control group of 35 patients received routine nursing (pelvic floor muscle functional exercise), and the intervention group of 35 patients underwent routine nursing, and then increased negative pressure exercise therapy from six weeks after surgery. The urinary continence were compared at 6 weeks, 10 weeks, and 18 weeks. At the same time, the International Erectile Function Scale (IIEF-5) score and subjective well-being survey were conducted to observe the treatment effect.Results:The median scores of urinary incontinence at 6 weeks, 10 weeks, and 18 weeks in the intervention group were 2, 1 and 0, respectively, which were significantly lower than those in the control group. The recovery time of urinary control function was shorter than that of the control group, and the difference was statistically significant (P<0.05); In addition, the intervention group had a faster increase in IIEF-5 score and subjective well-being score than the control group, suggesting that the intervention group had postoperative erectile function. The improvement of the quality of life was significantly better than the control group.Conclusion:Negative pressure therapy combined with pelvic floor muscle training can significantly improve the urinary continence and sexual function of patients after radical prostatectomy, shorten their recovery time.

目的 探讨医护一体化责任制整体护理模式在泌尿外科中的应用效果.方法 我科自2014年6月起开始实施固定床位,固定疾病,由固定医生和护士来管理,进行医护一体交班查房、共同制定诊疗护理方案、部分疾病临床路径化管理等医护一体化责任制整体护理方法,给患者提供连续全面的身心护理.比较实施医护一体化责任制整体护理模式前后护士对主管病人病情知晓率和患者的满意度.结果 护士对患者病情知晓率明显提高,患者对护士满意度明显提高.结论 医护一体化责任制整体护理应用在泌尿外科,能提高护士对患者病情知晓率和患者满意度.

Objective To evaluate the application value of anesthesia induction animation on relie-ving preoperative anxiety in children scheduled to undergoing hydrocele surgery.Methods A total of 74 pre-school children were randomly assigned into the experimental and control groups (n =37).Children in the ex-perimental group were arranged to watch the introductory animation for anesthesia induction and surgical proce-dures,and those in the control group conversed with the physicians to relieve preoperative anxiety.The mYPAS-SF scores were evaluated in the waiting area (T0),entering the operating room (T1)and before the anesthesia induction (T2),respectively.The induction compliance checklist (ICC)scale was evaluated the compliance of anesthesia induction during surgery.After the operation,the scores of face,legs,activity,cry, consolability (FLACC)and pediatric anesthesia emergence delirium (PAED)were evaluated postoperative pain and acute delirium,respectively.The scores were statistically compared between two groups.Results No statistical significance was observed mYPAS-SF score at T0 between two groups (P >0.05).The percent-age of children presenting with evident anxiety did not significantly differ between two groups (P >0.05).Af-ter transferring into the operating room,the mYPAS-SF scores at T1 and T2 in the experimental group were sig-nificantly lower compared with those in the control group (both P <0.01).ICC and FLACC scores in the ex-perimental group were significantly lower than those in the control group (all P <0.01).The PAED scores dur-ing the recovery period did not significantly differ between two groups (P >0.05).Conclusion Anesthesia induction animation can effectively relieve preoperative anxiety and improve the compliance in children with hydrocele.

目的：探讨阴茎可膨胀性支撑体植入术围手术期护理方法。方法：对14例ED患者行阴茎可膨胀性支撑体植入术，术前充分准备，术后严格消毒隔离管理，健康教育和延续护理指导。结果：术后恢复良好，无并发症，总有效率100℅。结论：使用阴茎可膨胀性支撑体治疗ED，随访全部患者及其性伴侣均感性生活满意。

Catheter-associated urinary tract infection (CAUTI) is a common nosocomial device-associated infection. It is now recognized that the high infection rates were caused by the formation of biofilm on the surface of the catheters that decreases the susceptibility to antibiotics and results in anti-microbial resistance.

Objective To assess the best method of collecting urine specimens for fluorescence in situ hybridization(FISH) test in bladder carcinoma diagnosis.Methods From April 2009 to April 2011,230 patients were enrolled in the study.There were 210 males and 20 females,the mean age was 64.2 years(7-88).Urine samples were collected by three different methods:one-time voided urine specimen(100 cases,Group A),multi-time voided urine specimen(80 cases,Group B) and bladder irrigated urine specimen(50 cases,Group C).The ratio of exfoliated cells over 100 among the three methods was compared.Results The ratio of exfoliated cells over 100 in urine specimen of the three methods were 83.3%,62.5% and 84.0%,the efficiency of the three methods were significantly different(χ2 =12.464,P=0.002).There were significant differences between Group A and B(χ2 =9.876,P=0.002),Group B and C(χ2 =6.876,P=0.007).No difference between Group A and C(χ2 =0.024,P=0.538).Conclusions FISH is an effective method in early diagnosis of bladder carcinoma.One-time voided urine specimen method should be recommended as a better method to collect urine specimen for FISH test.

Objective To explore the key points of preoperative care and postoperative rehabilitation instruction in the surgery of radical cystectomy and sigmoid colonic neobladder. Methods Ten patients with invasive bladder cancer were enrolled in this study. Full preoperative care was given to these patients in order to make the perioperative treatment succefully. All patents received rehabilitation instruction after radical cystectomy and sigmoid colonic neobladder surgery, including neobladder function training, diet guidance and so on. Surgical outcome was observed during follow-up. Results All operations were successful without complications during operation. During 3 months to 15 months follow-up, all patients had satisfied neobladder function with full control of urination during daytime. No severe postoperative complication, such as urethrostenosis was observed. Conclusions Intensive preoperative care combined with early correct function training of the neobladder are critical to ensure the surgeric effect and reduce the complications.