Application of preoperative quantitative urination training combined with postoperative pelvic floor electrical stimulation on patients undergoing radical prostatectomy
Objective To explore the effect of preoperative quantitative urination training combined with postoperative pelvic floor electrical stimulation on patients undergoing radical prostatectomy.Methods A total of 100 patients undergoing radical prostatectomy in Nanjing First Hospital from September 2019 to September 2022 were prospectively included.They were divided into control group and observation group by random number table method,with 50 patients in each group.Control group received preoperative routine nursing and postoperative pelvic floor electrical stimulation,and observation group was given preoperative quantitative urination training on this basis.Urodynamics and urination before and after intervention were compared in both groups,and occurrence of urination disorder within 24 hours after catheter removal and three months after surgery was observed.Results After intervention,the bladder volume,detrusor pressure,urine flow rate,urination interval time and urine volume in two groups were higher than those before intervention,and the observation group was higher than the control group,and the differences were statistically significant(P<0.05).After intervention,the number of nocturnal urination in both groups was lower than that before intervention,and the observation group was lower than the control group,and the differences were statistically significant(P<0.05).The incidence of urinary disorders in the observation group was lower than that in the control group within 24 h after catheter removal and three months after surgery,and the differences were statistically significant(P<0.05).Conclusion Preoperative quantitative urination training combined with postoperative pelvic floor electrical stimulation can improve the bladder function,improve ability of urination and urination control,and reduce incidence of dysuria in patients after radical prostatectomy.