The effect of nursing interventions on urinary, bowel and sexual dysfunction among post-radical prostatectomy patients

Abstract

Prostate cancer is one of the commonest types of cancer in men worldwide. The primary treatment option for localized prostate cancer is radical prostatectomy. Unfortunately, a considerable proportion of men may experience long-term post-surgical sequelae is to determine the effect of nursing interventions on urinary, bowel, and sexual dysfunction among post-radical prostatectomy patients. A quasi-experimental (one group, pre-test–post-test) research design. We included 30 post-radical prostatectomy patients in this study. Each patient was interviewed in five sessions. During these sessions, the information about the complications of RP, pelvic floor exercise training and sexual rehabilitation was given. International Consultation on Incontinence Questionnaire-Urinary Incontinence-Short Form (ICIQ-UI-SF), The Revised Faecal Incontinence Scale (RFIS) and Sexual Health Inventory for Men (SHIM) were used to evaluate the effect of nursing interventions. The study results demonstrate that the incidence of urinary and sexual dysfunction is high among patients post-radical prostatectomy patients. Fortunately, urinary and sexual dysfunctions were improved post-implementation of nursing intervention with statistically significant differences (p-value <0.05). The incidence of faecal incontinence was 16.7% while it was 13.3% post-nursing implementation with no statistically significant differences. Nursing intervention is effective in the management of urinary incontinence after radical prostatectomy within a short period time while the improvement in sexual dysfunction may need more time.