Studying Telemedicine-Supported Prehabilitation to Improve Recovery and Reduce Urinary Incontinence After Radical Prostatectomy for Prostate Cancer

What this Trial Is About

This research aims to evaluate the impact of a structured telemedicine-supported prehabilitation and rehabilitation program on reducing urinary incontinence after radical prostatectomy in patients with localized prostate cancer. Radical prostatectomy, a common treatment for this cancer, often leads to urinary incontinence, which affects quality of life. The study investigates whether enhancing physical conditioning and adherence to rehabilitation through wearable devices and remote physiotherapy can improve recovery outcomes. Participants in the intervention group receive a comprehensive prehabilitation program starting 14 to 30 days before surgery. They are provided with wearable devices such as a smartwatch and tablet or phone to monitor physical activity, including step count and heart rate. This group also has access to educational videos and online physiotherapy consultations, with continuous monitoring and reminders to encourage exercise adherence. The control group receives printed educational materials and digital activity monitoring but without reminders or online consultations. Both groups undergo scheduled postoperative physiotherapy visits over six months. During the study, participants urinary incontinence is measured using a 24-hour pad test before surgery and at multiple points up to six months after surgery. Additional assessments include physical fitness tests, quality of life questionnaires, respiratory and postural function measures, and adherence to rehabilitation. The study collects objective data from wearable devices and follows participants for about six months to understand the benefits of telemedicine in surgical recovery for prostate cancer patients.

The Effectiveness of Telemedicine Monitoring Prehabilitation in Prostate Cancer Patients Undergoing Radical Prostatectomy