Impact of Staged Rehabilitation Training on Urinary Incontinence Recovery After Radical Prostatectomy: A...

Area of Science:

• Urology
• Oncology
• Rehabilitation Medicine

Background:

• Urinary incontinence (UI) is a common complication following radical prostatectomy (RP).
• Effective postoperative management strategies are crucial for restoring continence.
• Staged rehabilitation training protocols may offer a structured approach to UI recovery.

Purpose of the Study:

• To assess the clinical impact of staged rehabilitation training on UI recovery post-RP.
• To identify predictors of UI recovery and training adherence.
• To evaluate the effectiveness of a structured pelvic floor muscle training program.

Main Methods:

• Retrospective cohort study of 169 patients undergoing robot-assisted RP.
• Comparison between a rehabilitation group (staged training) and a conventional group (basic education).
• Assessment of UI recovery rates and ICIQ-SF scores at 1, 3, and 6 months postoperatively; Cox and logistic regression analyses.

Main Results:

• The rehabilitation group demonstrated significantly higher UI recovery rates and lower ICIQ-SF scores at all time points.
• Staged rehabilitation training was an independent protective factor for UI recovery (HR = 2.048).
• Older age (HR = 0.765) and higher Gleason score (HR = 0.551) were independent risk factors for UI recovery; age predicted adherence (OR = 0.713).

Conclusions:

• Staged rehabilitation training significantly accelerates UI recovery after RP.
• Structured training protocols and patient adherence are key facilitators of continence restoration.
• Age and Gleason score are important factors influencing UI recovery outcomes post-RP.