Improvement of Urinary Incontinence, Life Impact, and Depression and Anxiety With Modified Pelvic Floor Muscle Training After Radical Prostatectomy

Li-Hui Pan, Mei-Hsiu Lin, See-Tong Pang, Jeng Wang, Whe-Mei Shih, Li-Hui Pan, Mei-Hsiu Lin, See-Tong Pang, Jeng Wang, Whe-Mei Shih

Abstract

Prostate cancer ranks second among male cancers in the United States in terms of death rate. Robot-assisted surgery (RAS) is now offered as the standard surgical procedure performed for radical prostatectomy. Urinary incontinence and erectile dysfunction were common complications after RAS prostatectomy. Patients felt ill-prepared after surgery, resulting in negative impacts on their quality of life. Pelvic floor muscle exercise is prioritized for patients with mild-to-moderate incontinence. The purpose of this study was to examine the effects of using resistance band pelvic floor muscle exercise for patients after RAS prostatectomy. A preexperimental single-group study was conducted for this study. A total of 43 patients completed the program. Urinary incontinence scale, Incontinence Impact Questionnaire, and Hospital Anxiety and Depression Scale were assessed at 0.5 months, 1 month, 2 months, and 3 months after urinary catheter removal. The results revealed that urinary incontinence, life impact, and depression and anxiety improved significantly as time went on. This study suggests that using simple and easy-to-learn resistance band pelvic floor muscle exercise program at home can benefit patients financially and reduce travel time.

Keywords: health-care issues; men’s health programs; oncology/cancer; prostate cancer; prostatectomy.

Conflict of interest statement

Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Research design. BMI = body mass index.
Figure 2.
Figure 2.
Resistance band exercise.
Figure 3.
Figure 3.
Flow chart. RARP = robotic arm–assisted radical prostatectomy; UTI = urinary tract infection.
Figure 4.
Figure 4.
Incidence of urinary incontinence after intervention.
Figure 5.
Figure 5.
Graphs of the impact on the four domains of quality of life after intervention.

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