Men's Experience of Being Diagnosed with Post-Void Residual Urine during Admission to an Orthopedic Surgical Department: An Interview Study.

Introduction and Aim <br/>Post-void residual urine (PVR) can be a preexisting or unknown chronic disorder, but it can also occur after surgery. A pilot study initiated in the Elective Surgery Center at Silkeborg Regional Hospital led to collaboration with a urologist to develop a flowchart to handle men with residual urine after elective surgery. Men with significant PVR volumes are recommended to follow up with a general practitioner or be referred to a urology clinic for further diagnosis and treatment. We want to learn how men with residual urine experience bladder scanning and be informed about the result and possible further diagnosis and treatment. It may be unexpected to men that a urological condition can occur in relation to orthopedic surgery. <br/><br/>Method <br/>Interview 2-4 weeks and 6 months after surgery with 11 men. A semi-structured interview guide was used. The interviews were recorded and transcribed, and 2 people analyzed the interviews using a thematic approach. <br/><br/>Results <br/>The ongoing analysis and preliminary results show that most men have an initial acceptance of bladder scans, trust in healthcare professionals' actions as necessary, and experience a basic sense of security in knowing that their challenges are being taken seriously. Six months later, their experiences may develop into a more nuanced evaluation. <br/><br/>Some men experience feelings of pressure and even shame at not being able to control urination, particularly during hospitalization. Some men find the information sufficient, while others feel they lack understanding of the purpose and implications of bladder scans and treatments. <br/>Some men experience intersectoral coherence and continuity, while others feel fragmentation and a lack of communication between sectors, impacting their perception of the quality of their treatment course. <br/><br/>Conclusion <br/>Knowledge about men's experience with residual urine during hospitalization can help improve the Fundamentals of Care and help nurses perform person-centered care.