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Perioperative Mobile Telehealth Program for Post-Prostatectomy Incontinence: A Randomized Clinical Trial.

Patricia S Goode^1,2, Theodore M Johnson^1,3, Diane K Newman^4,5

¹Birmingham/Atlanta Geriatric Research, Education, and Clinical Center (GRECC), Department of Veterans Affairs, Birmingham, Alabama and Atlanta, Georgia.

The Journal of Urology

|April 7, 2022

Summary

This summary is machine-generated.

Interactive mobile telehealth (mHealth) did not improve bladder control recovery after prostatectomy compared to education alone. Further research is needed to determine if mHealth programs can aid post-prostatectomy incontinence management.

Keywords:

prostatectomy telemedicine urinary incontinence, behavior therapy

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Area of Science:

Urology
Oncology
Digital Health

Background:

Pelvic floor muscle training aids post-prostatectomy bladder control recovery.
Most men do not receive this crucial training.
Mobile health (mHealth) offers a potential delivery method.

Purpose of the Study:

To evaluate mHealth effectiveness for delivering perioperative behavioral training.
To reduce post-prostatectomy urinary incontinence severity and hasten recovery.

Main Methods:

A 3-site randomized trial comparing a comprehensive mHealth program to an mHealth education control.
Interventions delivered 1-4 weeks pre- and 8 weeks post-surgery.
Primary outcome: time to continence (ICIQ-SF); secondary outcomes: incontinence scores, pad use, symptom scores at 6, 9, 12 months.

Main Results:

245 men randomized; no significant difference in time to continence between groups.
No significant differences in ICIQ scores or other secondary outcomes at 6 months.
mHealth behavioral program showed no superiority over mHealth education.

Conclusions:

Perioperative mHealth behavioral training was not more effective than mHealth education for post-prostatectomy incontinence.
Further research is required to establish the role of mHealth in prostate cancer care.
Investigate if mHealth programs can supplement standard care for incontinence.