早期盆底肌训练对前列腺术后尿失禁早期恢复的影响

IF 0.8 Q4 UROLOGY & NEPHROLOGY Urological Science Pub Date : 2023-01-01 DOI:10.4103/uros.uros_59_22
Yi-Hsuan Chen, Y. Juan, Wei Wei, J. Geng, K. Chueh, Hsiang-Ying Lee
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引用次数: 0

摘要

目的:前列腺手术后尿失禁是前列腺手术常见的并发症之一。盆底肌运动(PFME)在缩短尿失禁术后恢复时间方面有明显的疗效。我们的研究目的是评估强化PFME和盆腔肌电刺激对提高术后尿失禁恢复的疗效。材料与方法:2019年1月至2020年12月,前瞻性纳入72例患者,其中63例为良性前列腺增生(BPH), 9例为前列腺癌(PC),均行经尿道前列腺切除术(TURP)、解剖内镜下前列腺摘除(AEEP)、根治性前列腺切除术(RP)。排除27例出院前无法拔出Foley导管或失去随访的患者。最后,我们招募了44例患者(35例BPH和9例PC)。所有患者均采用尿垫试验、国际前列腺症状评分和膀胱过度活动症状评分进行评估。采用腹部超声或经直肠前列腺超声测量前列腺体积及空后残余尿量。结果:TURP/AEEP组和RP组取Foley导管后即刻尿失禁率分别为60%和88.9%。TURP/AEEP术后2周、1个月和3个月的尿失禁率分别为34.2%、20%和3%。RP组术后2周、1个月尿失禁率分别为55.6%、44.4%。术后2周、1个月、3个月的垫量分别为63.11±52.9 g、37.89±52.99 g、13.22±18.48 g。结论:早期强化PFME治疗可缩短前列腺术后尿失禁的恢复时间。
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Effects of early pelvic floor muscle training on early recovery of urinary incontinence after prostate surgery
Purpose: Postprostate surgeries urinary incontinence (UI) is one of the common bothersome complications of prostate surgery. Pelvic floor muscle exercises (PFME) have been reported to have benefits in shortening postoperative recovery time of UI. The aim of our study is to evaluate the efficacy of intensive schedule of PFME and pelvic muscle electrical stimulation in improving the recovery of postoperative UI. Materials and Methods: We prospectively enrolled 72 patients (63 Benign prostate hyperplasia [BPH] and 9 prostate cancer [PC]) who received transurethral resection of the prostate (TURP), anatomical endoscopic enucleation of the prostate (AEEP), Radical prostatectomy (RP) from January 2019 to December 2020. Twenty-seven patients who are unable to remove Foley catheter before discharge or loss follow-up were excluded. Finally, we enrolled 44 patients (35 BPH and 9 PC). All patients were assessed using the pad test, International Prostate Symptom Score, and Overactive Bladder Symptom Score. Abdominal ultrasonography or transrectal ultrasound of prostate was used to measure prostate volume and the postvoid residual urine volume. Results: The rate of UI was 60% and 88.9% immediately after removing the Foley catheter in TURP/AEEP and RP groups respectively. The incontinence rates in TURP/AEEP were 34.2%, 20%, and 3% after 2 weeks, 1 month, and 3 months' postoperation. In the RP group, the incontinence rate was 55.6%, 44.4% after 2 weeks, and 1 month postoperation. The pad amount was 63.11 ± 52.9 g, 37.89 ± 52.99 g, and 13.22 ± 18.48 g after 2 weeks, 1 month, and 3 months' postoperation. Conclusion: We demonstrated early intensive PFME program can shorten the recovery time of UI after prostate surgery.
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来源期刊
Urological Science
Urological Science UROLOGY & NEPHROLOGY-
CiteScore
1.20
自引率
0.00%
发文量
26
审稿时长
6 weeks
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