Construction of pelvic floor muscle rehabilitation training program for patients undergoing laparoscopic radical prostatectomy

Zheng-Zheng Ma; Hong-Bing Zhang; Mei-E Niu; Yan-Hong Ding; Yan Zhou; Qi Yang; Jia-Li Wang; Xiao-Wen Zhu; Chun-Ya Qian; Min Su

doi:10.21037/tcr-21-2738

Construction of pelvic floor muscle rehabilitation training program for patients undergoing laparoscopic radical prostatectomy

Transl Cancer Res. 2022 Feb;11(2):392-402. doi: 10.21037/tcr-21-2738.

Authors

Zheng-Zheng Ma^#¹, Hong-Bing Zhang^#², Mei-E Niu³, Yan-Hong Ding⁴, Yan Zhou¹, Qi Yang², Jia-Li Wang¹, Xiao-Wen Zhu¹, Chun-Ya Qian¹, Min Su⁵

Affiliations

¹ Department of Urology, the First Affiliated Hospital of Soochow University, Suzhou, China.
² Department of Physical Medicine and Rehabilitation, the First Affiliated Hospital of Soochow University, Suzhou, China.
³ Department of Nursing, the First Affiliated Hospital of Soochow University, Suzhou, China.
⁴ Department of Urology, Suzhou Municipal Hospital, Suzhou, China.
⁵ Department of Physical Medicine and Rehabilitation, Dushu Lake Hospital affiliated of Soochow University, Suzhou, China.

^# Contributed equally.

Abstract

Background: Laparoscopic radical prostatectomy (LRP) is the standard treatment for early localized PCa, of which urinary incontinence is the most common postoperative complication. Pelvic floor muscle rehabilitation training is recognized as the first line of intervention measures, but the existing rehabilitation training programs are not clear in the formulation process, the content is not unified, and the clinical operability is not strong. In order to better guide clinical pelvic floor muscle rehabilitation training after LRP and prevent and control urinary incontinence, this study constructed a pelvic floor muscle rehabilitation training program for LRP patients.

Methods: Literature analysis, qualitative interview, and an expert group meeting method were used to form the draft of pelvic floor muscle rehabilitation training program for LRP patients. On this basis, after 2 rounds of Delphi expert consultation, the research team modified and improved the program.

Results: The consultation experts involved in the 2 rounds were the same, 15 questionnaires were sent out, and 15 were recovered with an effective recovery of 100%. The expert authority coefficient was 0.87. In the second round of consultation, Kendall's harmony coefficient was 0.14 (P<0.001), the mean coefficient of variation of expert opinion was 0.07 (P<0.001), and the mean value of importance assigned to each item was 4.53-5.00 points. Finally, the pelvic floor muscle rehabilitation training program for LRR patients was formed. Including rehabilitation training evaluation, rehabilitation training advanced time and content, rehabilitation training form of three first-level indicators, 12 second-level indicators, 53 third-level indicators.

Conclusions: The pelvic floor muscle rehabilitation training program for LRP patients developed in this study is scientific, reliable, safe and feasible, which can provide reference for clinical pelvic floor muscle rehabilitation training after LRP and prevention and control of urinary incontinence.

Keywords: Prostate cancer (PCa); laparoscopic radical prostatectomy (LRP); nursing; pelvic floor muscle rehabilitation; program.