ArticleAmerican journal of men's health
Impact of Staged Rehabilitation Training on Urinary Incontinence Recovery After Radical Prostatectomy: A Retrospective Analysis.
Article in American journal of men's health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
To evaluate the clinical impact of staged rehabilitation training on the recovery of urinary incontinence (UI) after radical prostatectomy (RP) for prostate cancer and to identify factors associated with recovery outcomes and training adherence. In this retrospective cohort study, 169 patients who underwent robot-assisted RP at our hospital between June 2023 and December 2024 were included. Based on postoperative management with/without staged rehabilitation training, patients were assigned to a rehabilitation group or a conventional group. The rehabilitation group received a structured and staged pelvic floor muscle-training and behavioral-guidance protocol, whereas the conventional group received only basic health education. UI recovery rates and scores on the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) were compared at 1, 3, and 6 months postoperatively. Independent predictors of UI recovery were analyzed using a Cox proportional-hazards model. Within the rehabilitation group, factors associated with adherence were examined using logistic regression. The rehabilitation group showed significantly higher UI recovery rates at all postoperative time points and lower ICIQ-SF scores. Staged rehabilitation training was an independent protective factor for UI recovery (hazard ratio [HR] = 2.048), whereas older age (HR = 0.765) and higher Gleason score (HR = 0.551) were independent risk factors. Within the rehabilitation group, higher adherence was associated with better recovery and lower ICIQ-SF scores (all
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