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Updated: Jul 12, 2026

Retzius-Sparing Robot-Assisted Radical Prostatectomy

Retzius-Sparing Robot-Assisted Radical Prostatectomy

Published on: May 19, 2022

Functional outcomes of a biofeedback-guided pelvic floor muscle training program following robot-assisted radical

I Millán-Ramos¹, A Zambudio-Munuera¹, A Donaire-Barrera¹

¹Servicio de Urología, Hospital Universitario Clínico San Cecilio, Granada, Spain.

Actas Urologicas Espanolas

|July 10, 2026

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Structured pelvic floor muscle training with biofeedback significantly improves urinary continence after robot-assisted radical prostatectomy (RARP). High continence rates were observed early post-surgery, with more sessions potentially enhancing recovery.

Area of Science:

Urology
Rehabilitation Medicine
Surgical Outcomes

Background:

Urinary incontinence is a common complication following robot-assisted radical prostatectomy (RARP).
Effective postoperative management strategies are crucial for improving functional outcomes.
Pelvic floor muscle training (PFMT) is a key component of recovery.

Purpose of the Study:

To evaluate the effectiveness of a structured postoperative pelvic floor muscle training program with biofeedback.
To assess urinary continence and functional outcomes in patients after RARP.
To identify factors associated with successful continence recovery.

Main Methods:

Retrospective observational study of 90 patients undergoing RARP.
Inclusion of a biofeedback-guided PFMT program starting 12-14 days post-discharge.

Keywords:

24-hour pad test Biofeedback Continence recovery Entrenamiento del suelo pélvico Incontinencia urinaria postprostatectomía Pad-test de 24 horas Pelvic floor muscle training Post-prostatectomy incontinence Prostatectomía radical asistida por robot Recuperación de la continencia Robot-assisted radical prostatectomy

Related Experiment Videos

Last Updated: Jul 12, 2026

Retzius-Sparing Robot-Assisted Radical Prostatectomy

Retzius-Sparing Robot-Assisted Radical Prostatectomy

Published on: May 19, 2022

Primary outcome: urinary continence (0-1 pad/day) at 3 and 6 months post-surgery.

Main Results:

Continence rates reached 88.9% at 3 months and 94.4% at 6 months.
Lower 24-hour pad test values strongly correlated with continence.
The number of biofeedback sessions showed a significant association with continence recovery, suggesting a dose-response effect.

Conclusions:

A structured postoperative PFMT program with biofeedback is linked to high rates of early urinary continence after RARP.
The intensity of supervised rehabilitation may play a role in functional recovery.
Further prospective controlled studies are recommended to validate these findings.