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Integrating Prehabilitation into the Cancer Survivorship Framework
Julie K Silver1, Laura E Flores2
1Harvard Department of Physical Medicine and Rehabilitation, Massachusetts General Hospital, Boston, MA, USA.
European Urology Focus
|November 23, 2023
Summary
Prehabilitation enhances physical and emotional health before urological treatments. This approach shows promise in improving continence, erectile function, and body composition for cancer patients.
Area of Science:
- Urology
- Oncology
- Rehabilitation Medicine
Background:
- Prehabilitation aims to optimize patient health before surgery or therapy.
- Enhanced recovery after surgery (ERAS) protocols integrate prehabilitation strategies.
- Urological prehabilitation focuses on specific functional outcomes relevant to cancer care.
Purpose of the Study:
- To review current advances in urological prehabilitation.
- To explore the integration of prehabilitation with ERAS and conventional rehabilitation.
- To highlight the benefits of prehabilitation for urological cancer patients.
Main Methods:
- Mini-review of existing literature on urological prehabilitation.
- Analysis of prehabilitation's impact on urinary continence, erectile function, bone density, and lean body mass.
- Discussion of patient populations who may benefit most.
Main Results:
- Urological prehabilitation demonstrates promising results in improving key functional outcomes.
- Specific benefits include enhanced urinary continence and erectile function.
- Improvements in bone density and lean body mass are also observed.
Conclusions:
- Prehabilitation is a valuable component of care for urological cancer patients.
- Older and medically frail patients may experience the greatest benefits.
- Further research is ongoing to evolve prehabilitation protocols.
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