Utilization of a self-administered questionnaire to assess rectal function following prostate brachytherapy
H J Blatt1, L J Abel, R L Stipetich
1Schiffler Cancer Center, Wheeling Hospital, Wheeling, WV, USA.
Urologic Nursing
|May 10, 2002
Summary
Prostate brachytherapy is well-tolerated, with most patients experiencing no significant bowel function changes. This study found fewer than 20% of patients reported bowel issues after treatment.
Area of Science:
- Oncology
- Urology
- Radiation Medicine
Background:
- Prostate brachytherapy is a common treatment for localized prostate cancer.
- Understanding long-term side effects, particularly gastrointestinal (GI) toxicity, is crucial for patient management.
Purpose of the Study:
- To evaluate the incidence and severity of bowel changes in patients undergoing prostate brachytherapy.
- To assess patient-reported outcomes regarding bowel function after treatment.
Main Methods:
- A cohort of 209 consecutive prostate brachytherapy patients was studied.
- Patients completed a self-administered questionnaire assessing bowel function.
- Median follow-up duration was 28 months.
Main Results:
- Less than 20% of patients reported a deterioration in bowel function.
- The majority of patients maintained or improved their bowel function post-treatment.
Conclusions:
- Prostate brachytherapy demonstrates a favorable gastrointestinal toxicity profile.
- Long-term bowel function is generally well-preserved in patients treated with prostate brachytherapy.
Related Concept Videos
Assessing Body Temperature - Rectal
Rectal temperature measurement is considered the most precise method for assessing core body temperature and typically registers higher than oral temperature. For adults, the rectal thermometer should be inserted 1 to 1.5 inches into the rectum to obtain the most accurate reading.
Follow these steps for rectal temperature assessment:
Step 1: Perform hand hygiene and don clean gloves to prevent cross-infection.
Step 2: Position the patient in a side-lying position to better visualize the rectal...
Follow these steps for rectal temperature assessment:
Step 1: Perform hand hygiene and don clean gloves to prevent cross-infection.
Step 2: Position the patient in a side-lying position to better visualize the rectal...
Assessment of the Gastrointestinal System I: Subjective Data
Assessing the gastrointestinal (GI) system is a complex process that begins with collecting subjective data. This data, collected through patient interviews, provides crucial insights into the patient's health history, perception patterns, and lifestyle habits, all contributing significantly to GI health.
Health History
The initial step in assessing the GI system is obtaining a comprehensive health history. This includes inquiring about the patient's history or presence of problems related to...
Health History
The initial step in assessing the GI system is obtaining a comprehensive health history. This includes inquiring about the patient's history or presence of problems related to...
Assessment of the Rectum and Anus
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Urodynamic Studies: Uroflowmetry
Uroflowmetry is a non-invasive urodynamic test designed to measure various aspects of urination, including volume, flow rate, and the time to void. This test is crucial for diagnosing and assessing conditions such as bladder outlet obstruction, bladder dysfunction, incomplete bladder emptying, incontinence, and urinary tract blockages caused by benign prostatic hyperplasia (BPH) and urethral strictures.Pre-Test Instructions:Before a uroflowmetry test, patients are typically advised to drink...


