Application effect of pelvic floor function exercise based on health belief model in patients with benign prostatic hyperplasia after electrocautery

Int Urol Nephrol. 2025 Apr 25. doi: 10.1007/s11255-025-04454-w. Online ahead of print.

ABSTRACT

BACKGROUND: Benign prostatic hyperplasia (BPH) commonly affects men over 50, often requiring interventions like TURP. Postoperative pelvic floor muscle training (PFMT), guided by the Health BeliefModel (HBM), may enhance recovery, particularly in urinary and erectile function.

METHODS: Outcomes assessed included Health Promotion Lifestyle Profile II (HPLP-II) scores, International Prostate Symptom Scores (IPSS), International Index of Erectile Function-5 (IIEF-5), psychological states, and compliance behaviors.

RESULTS: In this retrospective case-control study, 180 men with BPH post-TURP were divided into a control group (standard care, n = 97) and an intervention group (PFMT based on HBM, n = 83). Post-intervention, the intervention group showed a significant improvement in HPLP-II, IPSS, and IIEF-5 scores compared to controls (P < 0.001). Prostate symptoms and erectile function improved markedly in the intervention group (IPSS: 5.16 vs. 8.39; IIEF-5: 20.08 vs. 20.99). Psychological assessments revealed lower anxiety and depression scores in the intervention group (SAS: 46.09 vs. 54.97; SDS: 42.15 vs. 53.29; P < 0.001). However, no significant differences in quality of life measures were reported between groups.

CONCLUSION: PFMT guided by the HBM significantly improved urinary and erectile function, reduced postoperative complications, and enhanced psychological well-being in patients with BPH following TURP. These benefits should be evaluated in future longitudinal studies to assess their sustainability.

PMID:40279078 | DOI:10.1007/s11255-025-04454-w