Study of Group Pelvic Floor Training Before Holmium Laser Prostate Surgery to Prevent Urinary Incontinence

What this Trial Is About

This research aims to determine if group pelvic floor training before Holmium laser enucleation of the prostate HoLEP surgery can help reduce early urinary incontinence in patients with benign prostatic hyperplasia BPH. The study will observe two groups of patients over time to compare the incidence of urinary incontinence at 1 month and 3 months after surgery. Researchers also plan to identify factors that might predict transient urinary incontinence after HoLEP. Participants in the treatment group will attend group pelvic floor training sessions led by a physical therapist, with classes offered weekly and lasting about 45 minutes each. Patients can attend as many classes as they wish during the 4 weeks before surgery, with at least one class encouraged. The control group will receive standard care, which may include education and pelvic floor exercises but no structured group training. During the study, participants will be assessed on urinary incontinence incidence and severity at 1 and 3 months after surgery using questionnaires and measurements of pelvic floor muscle strength. Researchers will also collect patient satisfaction data immediately after the training period. The study will gather demographic, imaging, and operative data to analyze potential confounding factors. Total participation includes preoperative training and follow-up assessments up to 3 months post-surgery.

Effect of Group Preoperative Pelvic Floor Training for HoLEP