Cognitive-behavioral program to control lower urinary tract symptoms after radical prostatectomy: a randomized clinical trial

Rev Bras Enferm. 2022 Jul 29;75(5):e20210818. doi: 10.1590/0034-7167-2021-0818. eCollection 2022.
[Article in English, Portuguese]

Abstract

Objective: to assess the effectiveness of a cognitive-behavioral program to control lower urinary tract symptoms after radical prostatectomy.

Methods: a randomized clinical trial study, with 41 participants randomized into intervention (n=20) and control (n=21), for three months. The intervention group received the cognitive-behavioral program, while the control group received routine guidance from the service. Outcome variables were urinary incontinence intensity and lower urinary tract symptoms, assessed by the Pad-Test and Urinary Incontinence Scale of Radical Prostatectomy and King's Health Questionnaire.

Results: at the end of the study, the intervention group had a lower urinary incontinence intensity (p≤0.001), and there were less chances of presenting changes in urinary frequency (p≤0.001), urinary urgency (p≤0.001), nocturia (p=0.005), stress urinary incontinence (p≤0.001) and urge incontinence (p≤0.045).

Conclusion: the cognitive-behavioral program was effective in reducing lower urinary tract symptoms after radical prostatectomy. Brazilian Clinical Trial Registry: RBR-3sstqg.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Cognition
  • Humans
  • Lower Urinary Tract Symptoms* / etiology
  • Lower Urinary Tract Symptoms* / prevention & control
  • Male
  • Prostatectomy / adverse effects
  • Surveys and Questionnaires
  • Urinary Incontinence* / etiology
  • Urinary Incontinence* / prevention & control