Resultados funcionales de un programa de entrenamiento del suelo pélvico con biofeedback tras prostatectomía radical asistida por robot

IF 1.7 4区医学 Q3 UROLOGY & NEPHROLOGY

Actas urologicas espanolas Pub Date : 2026-10-01 Epub Date: 2026-05-22 DOI:10.1016/j.acuro.2026.501999

I. Millán-Ramos, A. Zambudio-Munuera, A. Donaire-Barrera, P. Rodríguez-Parras, M.I. Martinez-Sanchez, M. Arrabal-Martín, M.A. Arrabal-Polo

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引用次数: 0

Abstract

Objective

Urinary incontinence remains one of the main functional sequelae after robot-assisted radical prostatectomy (RARP). This study aimed to evaluate urinary continence and functional outcomes in patients enrolled in a structured postoperative pelvic floor muscle training programme with biofeedback.

Methods

We conducted a single-centre retrospective observational study including consecutive patients who underwent RARP between November 2024 and October 2025 and entered a postoperative biofeedback-guided pelvic floor rehabilitation programme, with a minimum follow-up of 3 months. Patients with previous pelvic radiotherapy, preoperative urinary incontinence or incomplete key data were excluded. Biofeedback was started 12–14 days after hospital discharge, coinciding with catheter removal, and included 3–4 supervised sessions according to clinical progress, together with a home exercise programme. The primary outcome was urinary continence, defined as the use of 0–1 pad/day, at 3 and 6 months after surgery.

Results

Ninety patients were included. Mean age was 64.4 ± 6.3 years and mean body mass index was 29.1 ± 4.3 kg/m². Continence rates were 88.9% at 3 months and 94.4% at 6 months. Lower 24-hour pad test values were significantly associated with continence at the first and second follow-up visits (both p< 0.001). No significant associations were found between 3-month continence and age, body mass index, preoperative PSA, prostate volume or catheterisation time. Nevertheless, the number of biofeedback sessions was significantly associated with continence recovery, suggesting a possible dose-response effect.

Conclusions

A structured postoperative pelvic floor rehabilitation programme with biofeedback was associated with high rates of early continence recovery after RARP. The intensity of supervised rehabilitation may influence functional recovery. Prospective controlled studies are warranted to confirm these findings.

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机器人辅助根治性前列腺切除术后盆底生物反馈训练项目的功能结果

目的：尿失禁是机器人辅助根治性前列腺切除术（RARP）后主要的功能性后遗症之一。本研究旨在评估参加结构化盆底肌肉术后生物反馈训练计划的患者的尿失禁和功能结局。方法：我们进行了一项单中心回顾性观察研究，纳入了2024年11月至2025年10月期间连续接受RARP并进入术后生物反馈引导盆底康复计划的患者，随访时间至少为3个月。排除既往盆腔放疗、术前尿失禁或关键资料不完整的患者。出院后12-14天开始生物反馈，同时拔除导管，根据临床进展包括3-4次监督课程，以及家庭锻炼计划。主要终点是尿失禁，定义为术后3个月和6个月每天使用0-1个尿垫。结果纳入90例患者。平均年龄64.4±6.3岁，平均体重指数29.1±4.3 kg/m2。3个月时尿失禁率为88.9%，6个月时为94.4%。第一次和第二次随访时，较低的24小时尿垫试验值与尿失禁显著相关（p < 0.001）。3个月的尿失禁与年龄、体重指数、术前PSA、前列腺体积或导尿时间没有显著关联。然而，生物反馈会话的次数与失禁恢复显著相关，表明可能存在剂量反应效应。结论采用生物反馈的结构化盆底康复方案可提高RARP术后早期尿失禁的恢复率。监督康复的强度可能影响功能恢复。有必要进行前瞻性对照研究来证实这些发现。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Actas urologicas espanolas UROLOGY & NEPHROLOGY-

CiteScore

1.90

自引率

0.00%

发文量

审稿时长

46 days

期刊介绍： Actas Urológicas Españolas is an international journal dedicated to urological diseases and renal transplant. It has been the official publication of the Spanish Urology Association since 1974 and of the American Urology Confederation since 2008. Its articles cover all aspects related to urology. Actas Urológicas Españolas, governed by the peer review system (double blinded), is published online in Spanish and English. Consequently, manuscripts may be sent in Spanish or English and bidirectional free cost translation will be provided.