目的：探讨低频电疗法联合盆底肌锻炼对机器人辅助腹腔镜下根治性前列腺切除术患者尿失禁的预防效果。方法：选 择 2020 年 1 月—2022 年 1 月南京大学医学院附属鼓楼医院收治的 106 例机器人辅助腹腔镜下根治性前列腺切除术患者，随 机分为对照组（n=53）和研究组（n=53）。对照组行盆底肌锻炼，研究组在此基础上联合低频电疗法。比较两组患者拔除导 尿管后的尿失禁发生率、尿垫使用情况、恢复期控尿率及生活质量变化。结果：研究组患者拔除导尿管即刻和拔管后 1 个月 的尿失禁发生率及尿垫使用量均低于对照组（P<0.05）；研究组患者术后 1 个月完全控尿率及拔管后 3 个月生活质量各维度 评分均高于对照组（P<0.05）。结论：低频电疗法联合盆底肌锻炼可有效预防机器人辅助腹腔镜下根治性前列腺切除术患者 尿失禁，减少尿垫使用量，提升术后控尿率，从而改善患者生活质量。

Objective: To explore the effect of low-frequency electrotherapy combined with pelvic floor muscle exercise on the prevention of urinary incontinence in patients undergoing robot-assisted laparoscopic radical prostatectomy (RLRP). Methods: 106 patients who underwent RLRP in Nanjing Drum Tower Hospital from January 2020 to January 2022 were selected and randomly divided into the control group (pelvic floor muscle exercise, n=53) and the study group (pelvic floor muscle exercise combined with low-frequency electrotherapy, n=53). The incidence of urinary incontinence, use of urinary pads, rate of urinary control during the recovery period, and the quality of life were compared between the two groups of patients after catheter removal. Results: The incidence of urinary incontinence and the use of urinary pads in the study group were lower than those in the control group at the immediate moment of catheter removal and 1 month later (P<0.05). The rate of complete urinary control at 1 month after surgery and the quality of life scores of each dimension at 3 months after catheter removal in the study group were higher than those in the control group (P<0.05). Conclusion: Low-frequency electrotherapy combined with pelvic floor muscle exercise can effectively prevent urinary incontinence in patients undergoing RLRP, reduce the use of urinary pads, and enhance the rate of postoperative urinary control, thus improving patients’ quality of life.

基金项目：国家自然科学基金 （81974394） 

Foundation Item: National Natural Science Foundation of China (81974394) 

引用格式：庞园，王良梅，庄君龙 . 低频电疗法联合盆底肌锻炼对机器人辅助腹腔镜下根治性前列腺切除术患者尿失禁的预防效果 [J]. 机器 人外科学杂志（中英文），2025，6 （3）：450-454. 

Citation: PANG Y, WANG L M, ZHUANG J L. Effect of low-frequency electrotherapy combined with pelvic floor muscle exercise on the  prevention of urinary incontinence in patients undergoing robot-assisted laparoscopic radical prostatectomy[J]. Chinese Journal of Robotic  Surgery, 2025, 6 (3): 450-454. 

通讯作者（Corresponding Author）：王良梅 （WANG Liangmei），Email：13770835727@163.com

[1] 黄济云 , 夏厚萍 . 盆底肌锻炼对腹腔镜下前列腺癌根治术后尿失禁 患者生活质量的影响 [J]. 西部中医药 , 2021, 34(1): 103-106. 

[2] Brookman-May S D, May M. Re: Prostate cancer polygenic risk score and prediction of lethal prostate cancer[J]. Eur Urol, 2023, 83(5): 473-474. 

[3] Zuniga K B, Chan J M, Ryan C J, et al. Diet and lifestyle considerations for patients with prostate cancer[J]. Urol Oncol, 2020, 38(3): 105-117. 

[4] 吴玥 , 朱文 , 王庆伟 , 等 . 基于盆底 MRI 评估年龄与前列腺癌根治 术对男性盆底解剖结构及尿控的影响 [J]. 临床泌尿外科杂志 , 2021, 36(10): 769-775. 

[5] Reimer N, Zopf E M, Böwe R, et al. Effects of exercise on sexual dysfunction in patients with prostate cancer-a systematic review[J]. J Sex Med, 2021, 18(11): 1899-1914. 

[6] van der Slot M A, Remmers S, van Leenders G J, et al. Urinary incontinence and sexual function after the introduction of neuroSAFE in radical prostatectomy for prostate cancer[J]. Eur Urol Focus. 2023, 9(5): 824-831. 

[7] CHEN Y, HAO H, CHEN S, et al. Insights into urinary incontinence after robot-assisted radical prostatectomy: urgent urinary incontinence or stress urinary incontinence[J]. World J Urol, 2023, 41(12): 3635-3642.

[8] Amparore D, De Cillis S, Alladio E, et al. Development of machine learning algorithm to predict the risk of incontinence after robot-assisted radical prostatectomy[J]. J Endourol, 2024, 38(8): 871-878. 

[9] Dasgupta P, Davis J, Hughes S. NICE guidelines on prostate cancer 2019[J]. BJU Int, 2019, 124(1): 1. 

[10] 李友芳 , 陈娟 , 张培 , 等 . 局部热敷结合盆底肌训练对前列腺癌根 治术后患者膀胱痉挛和生活质量的影响 [J]. 河北医药 , 2020, 42(13): 2074-2077. 

[11] Sayner A, Nahon I. Pelvic floor muscle training in radical prostatectomy and recent understanding of the male continence mechanism: a review[J]. Semin Oncol Nurs, 2020, 36(4): 151050. 

[12] CHIEN C H, LIU K L, WU C T, et al. Development and assessment of a self-management intervention for urinary incontinence among patients with prostate cancer: protocol for a randomized feasibility study[J]. BMC Urol, 2023, 23(1): 193. 

[13] Hodges P, Stafford R, Coughlin G D, et al. Efficacy of a personalised pelvic floor muscle training programme on urinary incontinence after radical prostatectomy (MaTchUP): protocol for a randomised controlled trial[J]. BMJ Open, 2019, 9(5): e028288. 

[14] Matsunaga A, Yoshida M, Shinoda Y, et al. Effectiveness of ultrasoundguided pelvic floor muscle training in improving prolonged urinary incontinence after robot-assisted radical prostatectomy[J]. Drug Discov Ther, 2022, 16(1): 37-42. 

[15] Paterson C, Roberts C, Toohey K, et al. Prostate cancer prehabilitation and the importance of multimodal interventions for person-centred care and recovery[J]. Semin Oncol Nurs, 2020, 36(4): 151048. 

[16] Yáñez-Castillo Y M, Nogueras-Ocaña M, Jiménez-Pacheco A, et al. Preliminary results of the external urinary sphincter Uroflex® on the quality of life of patients with male urinary incontinence after prostate surgery: tolerance, severity of incontinence, and quality of life[J]. Int Urol Nephrol, 2024, 56(9): 2833-2838. 

[17] HUANG S Q, TIAN W J, ZHENG D W, et al. Electrical acupoint stimulation with low-frequency pulse in the treatment of urinary incontinence after prostatectomy[J]. Arch Esp Urol, 2023, 76(6): 460-466. 

[18] 黄济云 , 夏厚萍 . 盆底肌锻炼对腹腔镜下前列腺癌根治术后尿失禁 患者生活质量的影响 [J]. 西部中医药 , 2021, 34(1): 103-106. 

[19] Park J, Yoon D H, Yoo S, et al. Effects of progressive resistance training on post-surgery incontinence in men with prostate cancer[J]. J Clin Med, 2018, 7(9): 292. 

[20] Zhang A Y, Ganocy S, Fu A Z, et al. Mood outcomes of a behavioral treatment for urinary incontinence in prostate cancer survivors[J]. Support Care Cancer, 2019, 27(12): 4461-4467. 

[21] ZENG Y L, JIANG F L, WU Y L, et al. Predictors for lower urinary tract symptoms in patients underwent radical prostatectomy: implications for postoperative nursing care[J]. J Clin Nurs, 2022, 31(9-10): 1267-1272. 

[22] HUANG S Q, TIAN W J, ZHENG D W. Clinical study on low-frequency electrical pulse acupoint stimulation combined with pelvic floor muscle exercise in the treatment of urinary incontinence after radical prostatectomy[J]. Arch Esp Urol, 2024, 77(5): 591-597. 

[23] 鲍慧 , 钱卫红 , 汤丽 . 低频电疗法联合盆底肌锻炼防治机器人辅助腹 腔镜下前列腺癌根治术后尿失禁的疗效观察 [J]. 临床泌尿外科杂志 , 2019, 34(8): 651-653. 

[24] 王芸 , 李萍 , 邱雪峰 , 等 . 微课式功能锻炼指导在机器人辅助腹腔镜 前列腺癌根治术后尿失禁患者中的应用 [J]. 中国医药 , 2020, 15(5): 765-768. 

[25] Tantawy S A, Elgohary H M, Abdelbasset W K, et al. Effect of 4 weeks of whole-body vibration training in treating stress urinary incontinence after prostate cancer surgery: a randomised controlled trial[J]. Physiotherapy, 2019, 105(3): 338-345. 

[26] Faithfull S, Cockle-Hearne J, Lemanska A, et al. Randomised controlled trial to investigate the effectiveness of the symptom management after radiotherapy (SMaRT) group intervention to ameliorate lower urinary tract symptoms in men treated for prostate cancer[J]. Support Care Cancer, 2022, 30(4): 3165-3176. 

[27] ZHU J Y, GAO F, HE H D, et al. The Effect of Low-Frequency electrical stimulation combined with anus lifting training on urinary incontinence after radical prostatectomy in a Chinese cohort[J]. Am J Mens Health, 2023, 7(3): 15579883231183770. 

[28] 瞿旻 , 贾泽鹏 , 连碧珺 , 等 . 盆底肌锻炼模式对机器人辅助腹腔镜下 前列腺癌根治术后尿失禁康复的影响 [J]. 第二军医大学学报 , 2020, 41(11): 1284-1288. 

[29] Álamo V V, González O M, Carvajal R E, et al. Percutaneous posterior tibial nerve electrostimulation in urge urinary incontinence and faecal incontinence[J]. Rehabilitacion (Madr), 2020, 54(1): 3-10. 

[30] Shabataev V, Saadat S H, Elterman D S. Management of erectile dysfunction and LUTS/incontinence: the two most common, long-term side effects of prostate cancer treatment[J]. Can J Urol, 2020, 27(27 Suppl 1): 17-24. 

[31] 周萍 , 王燕 , 徐素萍 , 等 . 热敏灸联合盆底肌训练治疗前列腺癌根治 术后肾气不固型尿失禁 30 例临床研究 [J]. 江苏中医药 , 2020, 52(6): 68-71.