Effects of forward moving pelvic floor exercise program in urinary incontinence management among patients undergoing radical prostatectomy
10.3760/cma.j.cn115682-20250221-00811
- VernacularTitle:前移式盆底功能锻炼方案在前列腺癌术后患者尿失禁管理中的应用
- Author:
Hang WANG
1
;
Min LI
1
;
Yunfang LI
1
;
Jiaqi PAN
1
;
Yaxin PANG
1
;
Jiangting HE
1
Author Information
1. 郑州大学第一附属医院泌尿外科一病区，郑州 410000
- Publication Type:Journal Article
- Keywords:
Prostatic neoplasms;
Radical prostatectomy;
Urinary incontinence;
Quality of life;
Pelvic floor muscle training;
Pelvic floor rehabilitation
- From:
Chinese Journal of Modern Nursing
2025;31(35):4828-4833
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of the forward moving pelvic floor exercise program in urinary incontinence management among patients undergoing radical prostatectomy.Methods:From June 2022 to January 2024, 150 patients undergoing radical prostatectomy of the Urology Surgery Department, the First Affiliated Hospital of Zhengzhou University were selected using convenience sampling. Patients were randomly divided into an observation group and a control group, with 75 cases in each group. Control group received conventional perioperative management for prostate cancer, while observation group implemented a forward moving pelvic floor exercise program in addition to conventional management. The incidence of urinary incontinence, urinary control capabilities before and after intervention (including maximum urinary flow rate, average urinary flow rate, voided urine volume, and residual urine volume), and quality of life scores [evaluated using the Chinese version of the Incontinence Quality of Life Questionnaire (I-QOL) ] were compared between two groups of patients.Results:The incidence of urinary incontinence of observation group was lower than that of control group. Furthermore, patients with urinary incontinence in observation group exhibited significantly lower urine leakage volume and fewer episodes of urinary incontinence over 24 hours at one month postoperatively compared to control group, with statistically significant differences ( P<0.05). There were no statistically significant differences in maximum urinary flow rate, average urinary flow rate, voided urine volume, or residual urine volume between the two groups before intervention ( P>0.05). Following intervention, both groups demonstrated increased maximum urinary flow rate, average urinary flow rate, and voided urine volume compared to baseline, with observation group exhibiting higher values than control group ( P<0.05), and residual urine volume of both groups decreased compared to baseline, with observation group showing lower values than control group, these differences were statistically significant ( P<0.05). The difference in I-QOL scores between the two groups before intervention was not statistically significant ( P>0.05). Following intervention, I-QOL scores decreased in both groups, but observation group had higher score than control group, and the difference was statistically significant ( P<0.05) . Conclusions:The forward moving pelvic floor exercise program effectively reduces the incidence of urinary incontinence in patients undergoing radical prostatectomy, alleviates the severity of incontinence, and improves both urodynamic outcomes and quality of life.
