Effect of tube clamping training combined with progressive pelvic floor muscle exercise on bladder function rehabilitation after surgery for benign prostatic hyperplasia in military retired cadres
Objective To explore the effect of tube clamping training combined with progressive pelvic floor muscle exercise on bladder function rehabilitation after surgery for benign prostatic hyperplasia in military retired cadres.Methods A total of 186 patients with benign prostatic hyperplasia who underwent surgical treatment in The Second Affiliated Hospital of Air Force Medical University from March 2020 to May 2021 were enrolled in this study.They were randomly divided into control and observation groups.Routine rehabilitation training was given in the control group,and tube clamping training combined with progressive pelvic floor muscle exercise was carried out in the observation group.The therapeutic effect,urinary control,urodynamics,international prostate symptom score(IPSS),international lower urinary tract syndrome(LUTS)score,quality of life(QoL)score,modified Barthel index(MBI)urinary tract infection rate,and readmission rate were evaluated before and 6 months after treatment.Results The observation group had better clinical effect than the control group 6 months after treatment(P<0.05).The number of urination,the number of leakage of urine and the time of recovery of urinary control in the observation group were less than those in the control group(P<0.05).Leak point pressure(LPP)and maximum urethral closure pressure(MUCP)in the observation group were higher than those in the control group(P<0.05).The IPSS and LUTS score of the observation group were lower than those of the control group(P<0.05),while the QoL and MBI scores of the observation group were higher than those of the control group(P<0.05).After 6 months of rehabilitation intervention,the urinary tract infection rate and readmission rate of the observation group were significantly lower than those of the control group(P<0.05).Conclusion Tube clamping training combined with progressive pelvic floor muscle exercise can effectively promote the recovery of bladder function after surgery in military retired cadres with benign prostatic hyperplasia.
Tube clamping trainingProgressive pelvic floor muscle exerciseMilitary cadresProstatic hyperplasiaBladder function