Clinical effect of micturition interruption exercise on urinary incontinence after radical prostatectomy.

Kang-Jie He,Jia-Xing Chen,Zheng Zhu,Xiang-Nan Yang,Yue Duan,Di Dai,Jia-Cheng Zhang

doi:10.1007/s00520-021-06780-y

Abstract

To explore the effectiveness of micturition interruption exercise in improving the incidence of urinary incontinence after radical prostatectomy. With a retrospective case-control study, 96 patients admitted in the Second Affiliated Hospital of Zhejiang Chinese Medical University from August 2014 to August 2020 and underwent radical prostatectomy were collected as the subjects. Those patients who used micturition interruption exercise (n = 48) were set as the therapy group, and the control group was collected according to the ratio of 1:1; the patients used Kegel exercise (n = 48) to compare the rehabilitation of urinary incontinence in patients and the effect of training compliance on rehabilitation. The recovery time of urinary incontinence in the therapy group was significantly shorter than that of the control group. In the therapy group, 83.3% of patients with training compliance reached an average or above, while the control group only accounted for 58.3%. International Consultation on Incontinence Questionnaire Short-Form score of the therapy group was lower than that of the control group after surgery. Spearman analysis suggests that there is a negative correlation between the postoperative urinary incontinence recovery time and compliance with the micturition interruption exercise. Micturition interruption exercise could not only improve the compliance of patients with exercise, but also significantly shorten the recovery time of urinary incontinence after radical prostatectomy.

Highlights

According to data from the GLOBOCAN project of the International Agency for Research on Cancer of the World Health Organization, by 2020, prostate cancer has become the disease with the second-highest incidence of tumors in men worldwide, and its death is ranked sixth.Radical prostatectomy (RP) is the standard treatment for localized prostate cancer, but post-prostatectomy incontinence (PPI) is a tricky complication, with an incidence rate of 2–87%
Those patients who used micturition interruption exercise (n=48)were set as the observation group, and the control group was collected according to the ratio of 1:1, the patients used Kegel exercise (n=48)
83.3% of patients with training compliance reached an average or above, while the control group only accounted for 58.3%

Summary

Introduction

Radical prostatectomy (RP) is the standard treatment for localized prostate cancer, but post-prostatectomy incontinence (PPI) is a tricky complication, with an incidence rate of 2–87%. Suppose the patient's urinary incontinence is more severe and has not been improved for a long time. In that case, it will seriously affect the patient's quality of life and mental health, and affect the willingness to undergo further treatment. According to the severity of urinary incontinence, the treatment of PPI includes penis clamps, pelvic floor muscle training (PFMT), biofeedback electrical stimulation, drug therapy, and artificial urethral sphincter, etc.[1, 2] At present, the Kegel exercise is the primary method of PFMT[3]. Traditional methods to improve urinary incontinence after radical prostatectomy mainly focus on technological advances in surgery and postoperative pelvic floor muscle rehabilitation

Methods

Results

Conclusion