The impact of prehabilitation on postoperative outcomes in patients undergoing radical prostatectomy for prostate cancer: a systematic review and meta-analysis.
Wenxue Wan, Lu Shen, Yawei Chang et al.
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In 30 seconds
This systematic review and meta-analysis evaluated the impact of prehabilitation on postoperative outcomes in 1,542 patients undergoing radical prostatectomy for prostate cancer. The study found that prehabilitation significantly reduced the incidence of urinary incontinence at 1 and 6 months post-surgery (OR = 0.58 and OR = 0.52, respectively) and improved quality of life within 3 and 6 months, but had no significant effect on erectile function or incontinence severity.
Key findings
- Prehabilitation reduced urinary incontinence incidence at 1 month (OR = 0.58) and 6 months (OR = 0.52) post-RP.
- Quality of life significantly improved within 3 months (SMD = -0.70) and 6 months (SMD = -0.45) after surgery.
- No significant improvement in urinary incontinence severity or erectile function was observed at any follow-up time point.
Why it matters
Understanding the effects of prehabilitation on postoperative outcomes can help clinicians optimize patient care and recovery strategies following radical prostatectomy, particularly in managing urinary incontinence and enhancing quality of life.