Review of a Statewide Hospital-Acquired Pressure Injury Prevention Program Over 15 Years in Australia Abstract PURPOSE: The purpose of this retrospective study was to evaluate the effect of an organization-level, hospital-acquired pressure injury (HAPI) prevention program over a 15-year period. A secondary aim was to summarize the program priority areas, and the resources used to inform and support its delivery. DESIGN: Retrospective statewide audit. SUBJECTS AND SETTING:

Abstract Background and objective Radiotherapy (RT) is a key curative option for localized prostate cancer (PC). However, data on late genitourinary toxicity, especially adverse events requiring urgent care or hospitalization, remain limited. The aim of the Italian Registry of Radiotherapy-Associated Disorders and Urological Treatment & Evaluation (IRRADIaTE) is to characterize the burden and management of severe genitourinary adverse events following prostate RT across multi

Abstract Importance Accurate pretreatment prostate cancer risk assessment is essential to balance long-term treatment benefits and harm. Although some clinical and pathological parameters are established prognostic factors, the role of imaging parameters in prognostication is unclear. Objective To assess the prognostic value of pretreatment magnetic resonance imaging (MRI) parameters for oncological outcomes in men undergoing radical prostatectomy. Data Sources and Study

Abstract Purpose Although late effects and their symptomatology are well described for childhood cancer survivors, less is known about survivors of young adult (YA) cancer. Our aim was to characterize symptom burden among long-term survivors of YA cancer. Methods Project Milestones is a cross-sectional cohort survey study assessing benchmarks of emerging adulthood among 3–10-year cancer survivors diagnosed 21–39 years old. We analyzed responses from the first half of cohort p

Abstract Background: Prostate cancer survivors often experience reduced health-related quality of life (QOL). Diet is related to QOL in the general population and prostate cancer survivors, with benefits observed from greater consumption of a plant-based diet after treatment. We examined whether postdiagnostic Western and prudent dietary patterns were associated with cancer-specific QOL. Methods: We studied 1,032 participants in the Health Professionals Follow-Up Study diagno

Abstract Introduction Multiple Sclerosis (MS) is a chronic condition affecting the central nervous system, often leading to urinary incontinence (UI), balance disturbances, and fatigue. This study examines the relationship between UI, core muscle morphology, balance, and fatigue in patients with MS (PwMS) to inform rehabilitation strategies. Methods A cross-sectional observational study was conducted with 27 PwMS (17 with UI and 10 without). Abdominal muscle thickness (transv

Abstract Purpose: To assess factors associated with patients' self-assessed pain scores during prostate biopsy (PBx) performed exclusively under local anesthesia (LA). Materials and methods: Consecutive patients who underwent MRI followed by a transperineal (TP) or transrectal (TR) PBx under LA were prospectively assessed. Race and ethnicity were self-reported according to NIH standards. Socioeconomic status was assessed using the Distressed Community Index (DCI). Pain was ev

Abstract Purpose Holmium laser enucleation of the prostate (HoLEP) is as an effective, size-independent treatment for benign prostatic hyperplasia (BPH) with durable outcomes. However, one of its adverse outcomes is post-operative stress urinary incontinence (SUI). We sought to determine if membranous urethral length (MUL) as measured on preoperative magnetic resonance imaging is a predictor for post-operative SUI in patients undergoing HoLEP for BPH. Methods A single-center,

Abstract Incontinence-associated dermatitis (IAD) is an inflammatory skin condition caused by prolonged exposure of the skin to urine and feces. It is common among older adults in long-term care and contributes to pain, discomfort, and increased risk for secondary infection. This study aimed to identify risk factors for IAD development and to construct a prognostic model for incontinent nursing home residents aged ≥ 65 years. A secondary analysis was conducted using data from

Abstract Objective: To evaluate the safety and outcomes of holmium laser enucleation of the prostate (HoLEP) in patients with a history of prior surgical prostate intervention, and to compare these results with the patients without previous prostate intervention. Methods: A retrospective review of a prospectively maintained database at a tertiary-level center in Texas. From August 2015 to February 2025, 1876 patients underwent HoLEP, 143 had previous prostate surgery. These w

Abstract Background and Aims: Radical prostatectomy is the key for localised prostate cancer, but postoperative urinary incontinence and chronic pain impair outcomes. Enhancing perioperative care improves prognosis. This single-centre retrospective study evaluated a symptom management theory-based nursing model for radical prostatectomy patients. Methods: A total of 165 patients were divided into the control (routine care, n = 75) and observation (symptom management nursing,

ABSTRACT Background Frailty has been associated with numerous chronic diseases. However, the relationship between frailty and overactive bladder (OAB) has not been thoroughly examined. This study aims to explore the association between frailty and OAB in a large-scale population. Methods Data from 11 888 participants aged 20 years or older, who were part of the National Health and Nutrition Examination Survey (NHANES) from 2007 to 2018, were analyzed. The frailty index was ca

Abstract BACKGROUND: Urinary incontinence (UI) is a prevalent yet underreported condition that adversely affects the quality of life of older adults. This study aimed to assess the frequency and risk factors of UI and its impact on the quality of life of adults aged 50 years and older attending outpatient clinics of a tertiary care teaching hospital in the Eastern Province, Saudi Arabia. MATERIALS AND METHODS: This cross-sectional study was conducted from December 15, 2024,

Abstract Background: Patients are sometimes experienced as difficult by their providers. Purpose: To estimate the prevalence of difficult patient encounters among adults being seen in nonpsychiatric settings. Secondary goals were to assess patient and provider characteristics associated with difficulty as well as patient outcomes. Data Sources: MEDLINE, Web of Science, SciELO, ProQuest, Theses, Scopus, PsychInfo, Cochrane Central Register of Controlled Trials, Global Index Me

Abstract Importance Prostate cancer incidence is projected to double by 2040, yet optimal risk stratification approaches for screening remain unclear despite recent international endorsements of organized programs that call for risk-adapted algorithms using readily available biomarkers. Objective To identify biomarkers for risk-adapted prostate cancer screening in men without prostate cancer. Design, Setting, and Participants This cohort study used data from the Study o

Abstract Background/Objectives: Pelvic floor dysfunction (PFD) encompasses urinary incontinence (UI), anorectal disorders (ARDs), and other related conditions that frequently coexist. Evidence on the prevalence and determinants of ARD among patients with UI, particularly in Middle Eastern populations, remains limited. This study aimed to assess the prevalence of ARD in UI patients and identify key clinical and demographic factors associated with anorectal disorders. Methods:

Abstract Objective This study examined the association between the systemic immune-inflammation index and urinary incontinence subtypes using data from National Health and Nutrition Examination Survey 2007–2016. Methods This cross-sectional study included 21,569 adults. Systemic immune-inflammation index was calculated and log-transformed. Survey-weighted logistic regression analyses, smoothed curve fitting, exploratory threshold analyses, and subgroup analyses stratified by

Abstract Background Intravesical administration of botulinum toxin type A (BoNT-A) is an established third-line intervention for patients with refractory overactive bladder (OAB). With BoNT-A therapy now widely adopted, ongoing audits remain important to capture real-world outcomes across different patient groups. This retrospective audit assessed the clinical outcomes of BoNT-A therapy in a heterogeneous patient population treated at a university-affiliated teaching hospital

To the editor, We read with great interest the recent multicenter prospective cohort study by Gravier et al. investigating the prevalence of urinary incontinence (UI) among individuals attending pulmonary rehabilitation (PR) and the effects of PR on urinary symptoms. The authors are to be commended for addressing an often overlooked but clinically relevant comorbidity in chronic respiratory disease (CRD) populations. The reported prevalence of UI (38%) in individuals attendin

Abstract Condom catheters are also called external urinary collection devices to collect urine and monitor urine output in hospitalized and other patients with urinary incontinence. They play an important role in reducing catheter-associated urinary tract infections by using invasive indwelling catheters that are placed inside the bladder. Currently, male external catheters come with or without adhesives. Major problems with current condom catheters are finding the right size