Predictors for lower urinary tract symptoms in patients underwent radical prostatectomy: implications for postoperative nursing care

Abstract

Aims and Objectives The aim of this study was to evaluate the risk factors for lower urinary tract symptoms in prostate cancer patients underwent radical prostatectomy, thus providing therapeutic evidence for post‐operative nursing. Background Prostate cancer is one of the most commonly diagnosed male malignancy in recent years. With surgical treatments, patients with prostate cancer indeed have satisfying survival rate. However, the presence of postprostatectomy lower urinary tract symptoms which affect quality of life significantly is more worthy of attention. Design Patients underwent surgical therapies were followed up and the symptoms were recorded. Methods A total of 65 prostate cancer patients underwent radical prostatectomy from January 2019 to October 2020, and pathologically diagnosed with prostate cancer were enrolled in our study. These patients were followed up 3 months after surgery and their medical records were retrospectively collected and analysed. Results were reported according to the STROBE Statement. Results The incidence of post‐operative lower urinary tract symptoms at 3 months after surgery is similar to that of pre‐operation. Univariate and multivariate analyses revealed that the independent risk factor for postprostatectomy lower urinary tract symptoms is body mass index, whereas pelvic floor muscle exercise is a protective factor. Conclusions The incidence of postprostatectomy lower urinary tract symptoms is non‐negligible, which significantly affects quality of life. Body mass index is found as an independent risk factor for postprostatectomy lower urinary tract symptoms, while pelvic floor muscle exercise is a strong protector. Relevance to clinical practice Patients with prostate cancer would benefit from post‐operative pelvic floor muscle exercise. These findings contribute to tailor post‐operative nursing strategy.

Longitudinal changes in factors affecting postoperative patient satisfaction after robot-assisted radical prostatectomy: an assessment using a patient-reported questionnaire

“…Attention has been focused on not only urinary incontinence but other lower urinary tract symptoms (LUTS) as postoperative complications after RP. 15,16 Even though robot-assisted surgery has made delicate and precise manipulation possible, some patients experience prolonged postoperative LUTS that worsens over time. LUTS other than urinary incontinence or events related to LUTS can also affect QOL and treatment satisfaction.…”

Effectiveness of systemic acupuncture in the control of urinary incontinence following radical prostatectomy: a randomized clinical trial

“…The sociodemographic and clinical questionnaire included characterization variables and clinical conditions that may interfere with the level of PRPUI: age, education, professional status, per capita income, post-surgical time, Prostate Specific Antigen (PSA), time of indwelling urinary catheter use, prostate weight, number of comorbidities, Body Mass Index (BMI), and waist circumference ( 3 , 23 ) .…”

Development of a self‐management scale for lower urinary tract symptoms in patients with cancer after radical prostatectomy

“…It is important for medical professionals to understand the risk factors for patients with LUTS and to provide personalized care to allow post‐RP patients to effectively self‐manage LUTS and LUTS‐related problems 19 . Therefore, it would be useful to develop a scale that enables medical professionals to specifically and simply understand the self‐management status of patients with LUTS and to formulate a common understanding between patients and medical professionals.…”