Clinical efficacy of a rehabilitation management protocol for urinary incontinence after robot-assisted laparoscopic prostatectomy

IF 2.8 3区医学 Q2 HEALTH CARE SCIENCES & SERVICES Supportive Care in Cancer Pub Date : 2024-09-11 DOI:10.1007/s00520-024-08846-z

Jie Gu, Huiying Chen, Chengfei Gao, Ping Ren, Xiaoying Lu, Jie Cao

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Abstract

Objective

To evaluate the application of a rehabilitation management protocol for urinary incontinence after robot-assisted laparoscopic prostatectomy (RALP).

Methods

We conducted a retrospective cohort study of 114 patients who underwent RALP between August 2021 and November 2021 as the control group and a prospective analysis of 114 patients who underwent RALP between May 2022 and August 2022 as the experimental group. The rehabilitation management protocol focused on preoperative stage, postoperative care, day of catheter removal, 1 month postoperative, 3 months postoperative, 6 months postoperative, and 12 months or more postoperative.

Results

The 24-h pad test was significantly lower in the experimental group compared with the control group at 2 and 6 months after RALP (both P < 0.01). The scores of the international consultation on incontinence questionnaire-short form (ICIQ-SF) in the experimental group were significantly lower than those in the control group at 1 month after RALP (P < 0.01).The scores of quality of life in the experimental group were significantly higher than those of the control group at 1, 2, and 6 months after RALP (all P < 0.01).The scores of Broome Pelvic Muscle Self-efficacy Scale (BPMSES) were lower than those of the control group at 1, 2, 3, and 6 months after RALP (all P < 0.01).

Conclusion

The application of the rehabilitation management protocol had significant beneficial effects on urinary functions and quality of life in patients with prostate cancer after RALP.

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机器人辅助腹腔镜前列腺切除术后尿失禁康复管理方案的临床疗效

方法我们对2021年8月至2021年11月期间接受前列腺电切术（RALP）的114例患者进行了回顾性队列研究，作为对照组；对2022年5月至2022年8月期间接受前列腺电切术的114例患者进行了前瞻性分析，作为实验组。康复管理方案的重点是术前阶段、术后护理、拔除导尿管当天、术后1个月、术后3个月、术后6个月、术后12个月或更长时间。结果与对照组相比，实验组在RALP术后2个月和6个月时的24 h垫测试明显降低（P均为0.01）。在 RALP 术后 1 个月时，实验组尿失禁国际咨询问卷-简表（ICIQ-SF）的得分明显低于对照组（P < 0.01）。01）.实验组在RALP术后1、2、3、6个月的布鲁姆盆腔肌肉自我效能量表（BPMSES）评分均低于对照组（均P < 0.01）.结论康复管理方案的应用对前列腺癌患者RALP术后的排尿功能和生活质量有明显的改善作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Supportive Care in Cancer 医学-康复医学

CiteScore

5.70

自引率

9.70%

发文量

751

审稿时长

3 months

期刊介绍： Supportive Care in Cancer provides members of the Multinational Association of Supportive Care in Cancer (MASCC) and all other interested individuals, groups and institutions with the most recent scientific and social information on all aspects of supportive care in cancer patients. It covers primarily medical, technical and surgical topics concerning supportive therapy and care which may supplement or substitute basic cancer treatment at all stages of the disease. Nursing, rehabilitative, psychosocial and spiritual issues of support are also included.