Preoperative pelvic floor muscle training for patients undergoing radical prostatectomy:searching the way to improve urinary incontinence

2023 Fiscal Year Final Research Report

• Project/Area Number: 20K19105
• Research Category: Grant-in-Aid for Early-Career Scientists
• Allocation Type: Multi-year Fund
• Review Section: Basic Section 58060:Clinical nursing-related
• Research Institution: Health Sciences University of Hokkaido
• Principal Investigator: Yonekawa Hiroki 北海道医療大学, 看護福祉学部, 助教 (60825412)
• Project Period (FY): 2020-04-01 – 2024-03-31
• Keywords: 骨盤底筋体操 / 術前 / 前立腺全摘 / 尿失禁

Outline of Final Research Achievements

The　propose of this study is to examine preoperative pelvic floor muscle training could improve postoperative urinary incontinence which is happen after prostatectomy.
The results of this study suggest that preoperative pelvic floor muscle training should be started 30 days prior to surgery. Although it was not possible to establish specific methods for the number of times and methods． The results suggest that the important things is increasing the maximum muscle contraction and duration of contraction of the pelvic floor muscles. It will be necessary to verify and clarify methods of increasing muscle strength during preoperative pelvic floor muscle trainings.

Free Research Field

基礎看護学

Academic Significance and Societal Importance of the Research Achievements

本研究は、前立腺全摘術を受ける患者に対する、指導方法の一助となると考える。尿失禁を改善するための骨盤底筋体操は多種多様な方法がある中、本研究では筋力に着目し、増強するような取り組みを行い、尿失禁改善に効果を示すことが示唆された。この知見は医療者の指導に活用可能であると考える。また、患者が自宅で取り組む際に、トレーニング機器を活用し、筋力の増強を数値として可視化することの有用性も示唆されたといえる。