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Bakgrund: Urinläckage är en vanligt förekommande komplikation efter behandling av prostatacancer, som är den vanligaste cancerformen i Sverige. Det finns flera olika behandlingsalternativ där kunskap om risken för komplikationer behövs för att öka patienternas delaktighet inför behandlingsvalet. Syfte: Att jämföra skillnad i självrapporterad förekomst och självgraderad omfattning av urinläckage mellan män med prostatacancer som genomgått yttre strålbehandling enskilt eller yttre strålbehandling i kombination med kirurgi. Metod: En jämförande tvärsnittsstudie som hämtat data från en tidigare datainsamling på fyra olika strålbehandlingskliniker där deltagarna besvarat enkäter. I föreliggande studie analyserades svaren på utvald studiespecifik fråga gällande urinläckage. Huvudresultat: Det förelåg inte någon signifikant skillnad varken gällande självrapporterad förekomst eller självgraderad omfattning av urinläckage mellan män med prostatacancer som genomgått yttre strålbehandling enskilt eller yttre strålbehandling i kombination med kirurgi. Slutsats: Trots icke signifikant skillnad gällande förekomst och omfattning av urinläckage ansågs resultatet betydelsefullt för sjuksköterskans omvårdnadsarbete och patientens delaktighet., Background: Urinary leakage is a common complication after treatment for prostate cancer, which is the most common form of cancer in Sweden. There are several different treatment options where knowledge of the risk of complications is needed to increase patients' participation infront of treatment choice. Aim: To compare the difference in self-reported occurrence and self-rated extent of urinary leakage between men with prostate cancer who received external radiotherapy only or external radiotherapy combined with surgery. Method:A comparative cross-sectional study where data has been selected from a previous data collection at four different radiotherapy clinics where the participants answered questionnaires. In the present study, the answers to selected study-specific questions regarding urine leakage were analysed. Main results: There was no significant difference in either self-reported occurrence or self-rated extent of urinary leakage between men with prostate cancer who received external radiotherapy only or external radiotherapy combined with surgery. Conclusion: Despite a non-significant difference regarding the occurrence and extent of urine leakage, the result was considered important for the nursing care and the patient’s participation.

Bakgrund: Urinläckage är en vanligt förekommande komplikation efter behandling av prostatacancer, som är den vanligaste cancerformen i Sverige. Det finns flera olika behandlingsalternativ där kunskap om risken för komplikationer behövs för att öka patienternas delaktighet inför behandlingsvalet. Syfte: Att jämföra skillnad i självrapporterad förekomst och självgraderad omfattning av urinläckage mellan män med prostatacancer som genomgått yttre strålbehandling enskilt eller yttre strålbehandling i kombination med kirurgi. Metod: En jämförande tvärsnittsstudie som hämtat data från en tidigare datainsamling på fyra olika strålbehandlingskliniker där deltagarna besvarat enkäter. I föreliggande studie analyserades svaren på utvald studiespecifik fråga gällande urinläckage. Huvudresultat: Det förelåg inte någon signifikant skillnad varken gällande självrapporterad förekomst eller självgraderad omfattning av urinläckage mellan män med prostatacancer som genomgått yttre strålbehandling enskilt eller yttre strålbehandling i kombination med kirurgi. Slutsats: Trots icke signifikant skillnad gällande förekomst och omfattning av urinläckage ansågs resultatet betydelsefullt för sjuksköterskans omvårdnadsarbete och patientens delaktighet., Background: Urinary leakage is a common complication after treatment for prostate cancer, which is the most common form of cancer in Sweden. There are several different treatment options where knowledge of the risk of complications is needed to increase patients' participation infront of treatment choice. Aim: To compare the difference in self-reported occurrence and self-rated extent of urinary leakage between men with prostate cancer who received external radiotherapy only or external radiotherapy combined with surgery. Method:A comparative cross-sectional study where data has been selected from a previous data collection at four different radiotherapy clinics where the participants answered questionnaires. In the present study, the answers to selected study-specific questions regarding urine leakage were analysed. Main results: There was no significant difference in either self-reported occurrence or self-rated extent of urinary leakage between men with prostate cancer who received external radiotherapy only or external radiotherapy combined with surgery. Conclusion: Despite a non-significant difference regarding the occurrence and extent of urine leakage, the result was considered important for the nursing care and the patient’s participation.

OBJECTIVE: To investigate the frequency of physical activity among female pelvic cancer survivors (i.e., gynecological, rectal, and anal cancer survivors) and to investigate if survivors who practiced physical activity less than once a week differed from survivors practicing physical activity at least once a week with respect to urinary and fecal leakage, clinical and sociodemographic characteristics, quality of life (QoL), and depressed and anxious mood. METHODS: Female pelvic cancer survivors (n = 578, mean age 64 years) answered a questionnaire 6-48 months after radiotherapy. A multivariable regression model analyzed factors covarying with frequency of physical activity. We compared QoL and depressed and anxious mood between women practicing physical activity at least or less than once a week. RESULTS: Of 568 women delivering data, 186 (33%) practiced physical activity less than once a week while 382 (67%) practiced physical activity at least weekly. Women who leaked a large or all volume of stools (p = 0.01), had just elementary school level of education (p < 0.001), smokers (p = 0.049), or had lymphedema without receiving lymphedema treatment (p = 0.030) were more likely to practice physical activity less than weekly (50%, 45%, 45%, and 37%, respectively) compared with other women. Women practicing physical activity at least weekly reported better QoL (p < 0.001) and lower frequency of depressed mood (p = 0.044) compared with the others. CONCLUSIONS: Female cancer survivors experiencing fecal leakage were less likely to practice weekly physical activity than survivors without leakage. The survivors practicing weekly physical activity experienced better QoL and experienced depressed mood less frequently than the others.

OBJECTIVE: To compare the functional outcome of two types of orthotopic bladder substitution, the S-shaped and the U-shaped neobladder, with respect to leakage, functional capacity and quality of life. MATERIAL AND METHODS: Between 1999 and 2007, 45 male patients with urinary bladder cancer were treated with cystectomy and orthotopic bladder substitution; 23 with the S-shaped bladder ad modum Schreiter and 22 with the U-shaped bladder ad modum Studer. Patients were followed up by a urologist and a specialized nurse (urotherapist) at 1, 3 and 6 months. At each visit the patient completed a voiding chart, a weighted pad test and the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30). Differences between the groups in functional outcome and quality of life variables were analysed by Student's t test using SPSS software. RESULTS: Mean maximum bladder capacity increased over time. At 6 months, the S-bladder had a larger capacity than the U-bladder (525 ml vs 423 ml). Patients with an S-bladder had less urine leakage at all follow-ups, although this was statistically significant only at 6 months regarding day-time incontinence and at all visits regarding night-time incontinence. The mean urine leakage at 6 months was 7 g (day) and 30 g (night) in the S-bladder group and 50 g (day) and 250 g (night) in the U-bladder group. However, quality of life did not differ between the groups. CONCLUSION: The S-bladder had better bladder capacity and less leakage than the U-bladder, but these differences did not translate into differences in quality of life. The results should be confirmed in larger prospective studies.