Urinary Incontinence Following Transurethral Prostatectomy: Current Status and Nursing Strategies.

Abstract

Background: Urinary incontinence is a prevalent condition among patients who have undergone transurethral prostatectomy (TURP). The objective of this study was to assess the current status and the factors influencing the development of urinary incontinence following TURP. Methods: This retrospective study enrolled patients diagnosed with Benign Prostatic Hyperplasia (BPH) who underwent TURP at our hospital from November 1, 2022, to October 30, 2024. We analyzed the demographic and clinical characteristics of patients who developed postoperative urinary incontinence with those who did not. Results: A total of 242 patients who underwent TURP was enrolled, the incidence rate of postoperative urinary incontinence was 36.4%. There were correlations between postoperative urinary incontinence and the following factors: age (r = 0.601), diabetes (r = 0.589), and duration of surgery (r = 0.578), preoperative pelvic floor muscle training (r = -0.626). Multivariate logistic regression analysis revealed that age ≥65 years (OR = 1.941, 95% CI: 1.220∼2.403), diabetes (OR = 2.488, 95% CI: 2.192∼3.070), and surgery duration ≥60 minutes (OR = 1.995, 95% CI: 1.542∼2.426) are independent risk factors for the development of postoperative urinary incontinence in patients undergoing TURP. Preoperative pelvic floor muscle training (OR = 0.604, 95%CI: 0.319∼0.902) was a protective factor against postoperative urinary incontinence. Conclusion: The incidence of postoperative urinary incontinence following TURP is relatively high and is influenced by multiple factors. It is recommended that preventive and nursing measures be implemented to mitigate the occurrence of postoperative urinary incontinence. These measures should include the stringent control of blood glucose levels, optimization of surgical duration, and the standardization of preoperative pelvic floor muscle training.