Junwen Shen, Rongjiang Wang
Departments of Urology, The First People's Hospital of Huzhou, Zhejiang Province, Zhejiang Huzhou 313000, China.
Biomed Res Int. 2020 Mar 18;2020:6947839. doi: 10.1155/2020/6947839. eCollection 2020.
This research is aimed at studying the effect of the WeChat app combined with pelvic floor muscle exercise (PFME) on urinary incontinence (UI) for patients treated with radical prostatectomy (RP). We retrospectively reviewed 112 patients who not only had done open RP or laparoscopic RP in our institution but also had sufficient data: preoperative information and more than one year of follow-up records. All the patients received instructions in correct pelvic floor muscle contraction and were encouraged to train the pelvic floor muscle. 58 patients, who were offered additional training guide by the WeChat app after hospital, were divided into group A, while the other 54 patients, who did PFME alone after hospital, were divided into group B. All the patients underwent a 24 h pad test at 3 days, 1 month, 3 months, 6 months, and 12 months after catheter removal. The differences in preoperative information and the results of the 24 h pad test in the follow-up, from the two groups of patients, were compared statistically. And we defined "urinary continence" as 0 g at a 24 h pad test.
No statistically significant difference in background variable in patients of group A and group B was found. On a 24 h pad test (g), group A had better results compared to group B: 254 ± 76 vs 293 ± 86 (1 month, < 0.05), 76 ± 47 vs 98 ± 58 (3 months, < 0.05), 76 ± 47 vs 98 ± 58 (3 months, < 0.05), 76 ± 47 vs 98 ± 58 (3 months, < 0.05), 76 ± 47 vs 98 ± 58 (3 months, < 0.05), 76 ± 47 vs 98 ± 58 (3 months, < 0.05), 76 ± 47 vs 98 ± 58 (3 months.
Compared to doing PFME alone, the WeChat app combined with pelvic floor muscle training can decrease urine leakage and increase the number of urinary continence after radical prostatectomy.
本研究旨在探讨微信应用程序联合盆底肌肉锻炼（PFME）对接受根治性前列腺切除术（RP）患者尿失禁（UI）的影响。我们回顾性分析了112例在我院接受开放性RP或腹腔镜RP且有足够数据的患者：术前信息及一年以上的随访记录。所有患者均接受了正确的盆底肌肉收缩指导，并被鼓励进行盆底肌肉训练。58例患者在出院后通过微信应用程序获得了额外的训练指导，被分为A组；另外54例患者出院后仅进行PFME，被分为B组。所有患者在拔除导尿管后3天、1个月、3个月、6个月和12个月时均进行了24小时尿垫试验。对两组患者的术前信息及随访期间24小时尿垫试验结果进行统计学比较。我们将24小时尿垫试验结果为0克定义为“尿失禁”。
A组和B组患者的背景变量无统计学显著差异。在24小时尿垫试验（克）中，A组的结果优于B组：254±76 vs 293±86（1个月，<0.05），76±47 vs 98±58（3个月，<0.05），76±47 vs 98±58（3个月，<0.05），76±47 vs 98±58（3个月，<0.05），76±47 vs 98±58（3个月。
与单纯进行PFME相比，微信应用程序联合盆底肌肉训练可减少根治性前列腺切除术后的尿液渗漏并增加尿失禁患者的尿控次数。
需注意，原文中多次重复“76 ± 47 vs 98 ± 58 (3 months, < 0.05)”，可能存在排版错误，翻译时保留了原文内容。
