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Clinical effect of micturition interruption exercise on urinary incontinence after radical prostatectomy

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Abstract

Purpose

To explore the effectiveness of micturition interruption exercise in improving the incidence of urinary incontinence after radical prostatectomy.

Materials and methods

With a retrospective case–control study, 96 patients admitted in the Second Affiliated Hospital of Zhejiang Chinese Medical University from August 2014 to August 2020 and underwent radical prostatectomy were collected as the subjects. Those patients who used micturition interruption exercise (n = 48) were set as the therapy group, and the control group was collected according to the ratio of 1:1; the patients used Kegel exercise (n = 48) to compare the rehabilitation of urinary incontinence in patients and the effect of training compliance on rehabilitation.

Results

The recovery time of urinary incontinence in the therapy group was significantly shorter than that of the control group. In the therapy group, 83.3% of patients with training compliance reached an average or above, while the control group only accounted for 58.3%. International Consultation on Incontinence Questionnaire Short-Form score of the therapy group was lower than that of the control group after surgery. Spearman analysis suggests that there is a negative correlation between the postoperative urinary incontinence recovery time and compliance with the micturition interruption exercise.

Conclusions

Micturition interruption exercise could not only improve the compliance of patients with exercise, but also significantly shorten the recovery time of urinary incontinence after radical prostatectomy.

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Data availability

All data generated or analyzed during this research period are included in published articles. Data are available on request to the authors.

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Acknowledgements

Thanks to everyone for their help.

Funding

This work was supported by the Natural Science Foundation of Zhejiang Province (project number: Y20H270024).

Author information

Authors and Affiliations

  1. Second Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, 310053, China

    Kang-jie He, Xiang-nan Yang, Di Dai & Jia-cheng Zhang

  2. Department of Nursing, The Second Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, Zhejiang, 310000, China

    Zheng Zhu

  3. Department of Urology Surgery, Jiangshan People’s Hospital of Zhejiang Province, Jiangshan, Zhejiang, 324100, China

    Jia-xing Chen

  4. Department of Urology Surgery, The Second Affiliated Hospital of Zhejiang Chinese Medical University, 318 Chaowang Road, Hangzhou, Zhejiang, 310000, China

    Yue Duan

Authors
  1. Kang-jie He
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  4. Di Dai
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Contributions

Kang-jie He carried out the questionnaire investigation, participated in the data analysis, and drafted the manuscript. Xiang-nan Yang carried out the questionnaire investigation and performed the statistical analysis. Yue Duan conceived of the study, participated in its design and coordination, and obtained funding. Zheng Zhu participated in the training of nursing in this research. Di Dai and Jia-cheng Zhang checked the correctness of the data. Jia-xing Chen proposed critical revision of the manuscript for important intellectual content. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Yue Duan.

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Ethical approval and consent to participate

All authors have participated sufficiently in the work to take public responsibility for appropriate portions of the content after receiving permission from the human research ethics committee of the Hospital (IRB No.2020-KL-167-01). As this was a retrospective study, the ethics committee abandoned the requirement for informed consent.

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Written informed consent for publication was obtained from all participants.

Competing interests

The authors declare no competing interests.

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He, Kj., Yang, Xn., Zhu, Z. et al. Clinical effect of micturition interruption exercise on urinary incontinence after radical prostatectomy. Support Care Cancer 30, 3241–3247 (2022). https://doi.org/10.1007/s00520-021-06780-y

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  • DOI: https://doi.org/10.1007/s00520-021-06780-y

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