Influencing factors of lower urinary tract symptoms in patients after radical prostatectomy and nursing strategy
10.13263/j.cnki.nja.2025.09.007
- VernacularTitle:根治性前列腺切除术患者下尿路症状的影响因素分析及护理对策探讨
- Author:
Na YU
1
;
Song XU
;
Hao-Wei HE
;
Dian FU
;
Tian-yi SHEN
;
Meng ZHANG
Author Information
1. 南京大学医学院附属金陵医院/东部战区总医院麻醉科,江苏南京 210002
- Publication Type:Journal Article
- Keywords:
prostate cancer;
radical prostatectomy;
lower urinary tract symptoms;
predictive factors;
nursing countermeasures
- From:
National Journal of Andrology
2025;31(9):818-822
- CountryChina
- Language:Chinese
-
Abstract:
Objective:This study aims to analyze the influence factors of lower urinary tract symptoms(LUTS)in patients re-ceiving radical prostatectomy for prostate cancer,and to explore effective nursing strategy in order to provide a theoretical basis for im-proving the postoperative quality of life of patients.Methods:A retrospective study was conducted on 103 elderly male patients who underwent radical prostatectomy for prostate cancer in the Department of Urology at General Hospital of Eastern Theater Command from August 2022 to August 2024.The patients were categorized into two groups based on whether LUTS occurred.Demographic and clinical characteristics,perioperative parameters,follow-up data,and participation in pelvic floor muscle training were analyzed to identify risk factors associated with postoperative LUTS.Results:The incidence of postoperative LUTS in the patients with LUTS before the oper-ation was significantly higher than that in the patients without LUTS before the operation(68.42％vs 32.61％,P=0.001).Addition-ally,the use of larger catheters(22F)was closely associated with an increased incidence of postoperative LUTS(P＜0.01).Pelvic floor exercises demonstrated a significant protective effect,with patients who engaged in pelvic floor exercises exhibiting a lower inci-dence of postoperative LUTS(38.60％vs 60.87％,P=0.040).Regression analysis further revealed that pelvic floor exercises was the protective factor for postoperative LUTS(OR=0.215,95％CI:0.091-0.508,P＜0.01).Conclusion:Preoperative LUTS and catheter size are significant risk factors for the occurrence of postoperative LUTS following radical prostatectomy.Pelvic floor mus-cle exercise after surgery has a protective effect.Postoperative personalized nursing interventions are necessary for different patients to achieve optimal recovery outcomes.
