Revista Brasileira de Enfermagem (Jul 2022)

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

  • Lívia Cristina de Resende Izidoro,
  • Luciana Regina Ferreira da Mata,
  • Cissa Azevedo,
  • Adriano Augusto Peclat de Paula,
  • M. Graça Pereira,
  • Jackelline Evellin Moreira dos Santos,
  • Virginia Visconde Brasil,
  • Lizete Malagoni de Almeida Cavalcante Oliveira

DOI
https://doi.org/10.1590/0034-7167-2021-0818
Journal volume & issue
Vol. 75, no. 5

Abstract

Read online Read online

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.

Keywords