Pelvic floor muscle training combined with regular schedule guidance in patients with urinary incontinence after prostatic hyperplasia

ZHAO Nan

doi:10.3969/j.issn.2097-1753.2025.04.018

Abstract：Objective To analyze the clinical effects of pelvic floor muscle training combined with regular schedule guidance in patients with urinary incontinence after prostatic hyperplasia surgery.Methods A total of 150 patients with urinary incontinence after transurethral prostatectomy treated in our hospital between December 2022 and December 2024 were selected and divided into a control group(n=75)and a study group(n=75)using the random sampling method.The control group was subjected to bladder function training while the study group underwent pelvic floor muscle training combined with guidance on regular schedules.The efficacy,scores of the International Consultation Incontinence Questionnaire-Short Form(ICIQ SF),number of times of urine leakage,negative emotions,Chronic Prostatitis Symptom Index(NIH-CPSI),scores of the Visual Analogue Scale(VAS)and Pain Perception Index(PPI)were compared between the two groups.Results The effective rate of treatment in the study group was higher than in the control group(χ2=8.963,P=0.003).After treatment,the ICIQ-SF score and the number of times of urine leakage were lower in the study group than in the control group(t=14.208,9.319,both P＜0.001),so were the scores of the Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)(t=3.060,3.570,P=0.003,0.001).The scores of NIH-CPSI,VAS and PPI in the study group were also lower(t=6.408,2.684,9.826,P＜0.001,=0.008,＜0.001).Conclusion The application of pelvic floor muscle training combined with regular schedule guidance in patients with urinary incontinence after transurethral prostatectomy can help reduce the number of times of urine leakage,improve negative emotions and alleviate pain.