Abstract:Objective To explore the effect of pelvic floor muscle training (PFMT) mode on the recovery of postoperative urinary continence after robot-assisted laparoscopic radical prostatectomy. Methods The clinical and followup data of 186 patients receiving robot-assisted laparoscopic radical prostatectomy by a single surgeon were retrospectively collected from Jun. 2013 to Jun. 2018. The patients were divided into three groups:rapid recovery group (≤ 1 pad, recovery time ≤ 3 months), slow recovery group (≤ 1 pad, recovery time >3 months) and urinary incontinence group (>1 pad). The clinical data of the three groups and the difference of PFMT mode were compared between the rapid and slow recovery groups. The influencing factors of rapid recovery of postoperative urinary incontinence were analyzed by multivariate binary logistic regression model. Results Sixty patients were lost during follow-up, hence 126 patients were finally followed-up and included in this study. Sixty-six patients in the rapid recovery group, 26 in the slow recovery group and 34 in the urinary incontinence group were diagnosed at the age of (62.7±6.8), (67.0±7.5) and (70.3±7.0) years, respectively (P<0.01). Meanwhile, the proportions of nerve sparing in the three groups were significantly different among the three groups (57.6%[38/66], 26.9%[7/26]and 17.6%[6/34], P=0.011). Among the 92 patients with urinary incontinence rehabilitation, eight patients recovered immediately after removing the catheter, and the remaining 84 patients underwent PFMT after operation, including 58 cases in the rapid recovery group and 26 cases in the slow recovery group. The proportions of patients who insisted on daily PFMT and chose to do PFMT in the daytime in the rapid recovery group were significantly higher than those in the slow recovery group (70.7%[41/58]vs 38.5%[10/26]and 69.0%[40/58]vs 23.1%[6/26], both P<0.05). Multivariate binary logistic regression analysis showed that age of diagnosis (OR=1.09, P=0.044), non-nerve sparing (OR=2.73, P=0.034), failure to continue PFMT after operation (OR=6.30, P=0.034) and absence of PFMT in the daytime (OR=6.76, P=0.006) were the risk factors for rapid recovery of urinary incontinence after operation. Conclusion PFMT is important to urinary continence after robot-assisted laparoscopic radical prostatectomy, especially for rapid recovery. Patients' age, nerve sparing or not, keeping PFMT and PFMT time are associated with the rapid recovery of early postoperative urinary incontinence.