Visual Guidelines and Tutoring in Pediatric Urological Surgery

Not Applicable

Completed

• Conditions: Hydrocele; Anxiety; Undescended Testis; Hypospadias; Ureteropelvic Junction Stenosis
• Interventions: Behavioral: Picture book; Behavioral: Standard preoperative education

• Registration Number: NCT02040389
• Lead Sponsor: Shaare Zedek Medical Center

Brief Summary

The aim of this study is checking impact of visual guidelines (picture book) and tutoring in pediatric urologic surgery

Detailed Description

The number of operations in pediatric urology performed on the basis of one day surgery has been increased tremendously over the last years. The shortening of the hospital admission intends to increase the efficacy of the health system, however at the same time puts an additional burdening regarding the postoperative care on the parents of the operated children. The parents often have no or has little experience with regards to the basic medical education. The lack of the proper tutoring in terms of possible complications, normal postoperative period may cause unnecessary patients and parents anxiety, visit to the emergency room or calls to the medical stuff, and in some case delay medical attention which can cause major surgery related complications. Visual guidelines and tutoring of the patients upon surgery may avoid these undesirable effects of the early hospital discharge

Patients and methods:

The investigators are proposing prospective study of 3 groups of patients which undergo the most often urological surgery Group 1 penile surgery, Group 2 inguinal surgery. Group 3 renal surgery required nephrostomy tube leave or drainage. Each group will be divided into two subgroups (20 patients each) with and without visual tutoring prior to the surgery. Visual tutoring will include the photograph pictures reflecting different stage of the convalescent period following surgery. The parents will be asked to answer on questionnaire regarding the level of anxiety before surgery, immediately after surgery, week and 3-6 months after surgery. The number of parents calls to the hospital staff, emergency or outpatient clinic visit will be recorded and compared between two groups. The statistical analysis will performed utilizing Graph Pad Prism version 5.00 for Windows, (Graph Pad software, San Diego, California, chi square and Fisher test), considering p value of \<0.05 as significant).

Study Timeline

• Status Verified: 2013-11
• Study First Submitted: 2014-01-08
• Study First Submitted QC: 2014-01-15
• Study First Posted: 2014-01-20
• Study Start: 2014-03
• Primary Completion: 2015-02
• Study Completion: 2016-06
• Last Update Submitted: 2016-10-26
• Last Update Posted: 2016-10-27

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 120

Inclusion Criteria

• children with indications for penile, inguinal or kidney surgery

Exclusion Criteria

• prior urological procedure (recurrent cases)

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
pictures book + standard education	Picture book	arm with children undergoing urological procedures and their parents will receive standard preoperative education + pictures book with pictures of surgical wound in different stages of healing
Standard preoperative education	Standard preoperative education	Arm with children undergoing urological procedures and their parents will receive only standard preoperative education

Primary Outcome Measures

Name	Time	Method
Level of parents anxiety	Three weeks after surgery	Measuring of parents anxiety 3-6 weeks after surgery

Secondary Outcome Measures

Name	Time	Method
Numbers of parents non-planed calls/visits	During 3-6 weeks after surgery	We will note in two groups of patients all non-planed calls/visits 3-6 weeks after surgery

Trial Locations

Locations (1)

The Department of Pediatric Urology, Shaare Zedek Medical Center, Faculty of Medicine, Hebrew University; 🇮🇱 Jerusalem,, Israel