Prerehabilitation of patients qualified for prostatectomy based on own experience
DOI:
https://doi.org/10.12775/JEHS.2025.85.65752Keywords
prerehabilitation, prostatectomy, physiotherapy, rehabilitationAbstract
Introduction
Prehabilitation involves comprehensive and multidirectional activities aimed at preparing the patient for surgery or other types of treatment (radiotherapy, chemotherapy). The main goal of the above-mentioned activities is to reduce the risk of complications, support the patient's regeneration process and ensure a quick return to health and normal daily activities. Prehabilitation includes an interdisciplinary approach through activities in the preoperative period: improving physical condition, achieving a healthy body weight, proper nutrition, mental training, stopping addictions and changing bad habits. Numerous scientific reports indicate the beneficial effects of prehabilitation programs. Prehabilitation reduces the percentage of postoperative complications, shortens the length of hospital stay, increases physical activity, reduces treatment costs, reduces the number of antibiotics administered and has a positive effect on patients' compliance with postoperative recommendations.
Objectives
The aim of the article was to present the author's development of a prehabilitation program for patients qualified for radical prostatectomy due to prostate cancer. Preparing the patient for surgical treatment requires multidirectional and comprehensive action, which was developed in the Department of Physiotherapy, Faculty of Health Sciences, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń and implemented in the Urology Clinic of the University Hospital No. 2 dr. Jan Biziel in Bydgoszcz. The prehabilitation program was developed based on own experience in the course of direct work with oncological patients in the field of prostate cancer and through the analysis of the literature.
Conclusions
- Prehabilitation is essential to ensure the highest quality of medical care for patients undergoing surgical treatment.
- Prehabilitation promotes the development of comprehensive care, placing the patient's well-being at the center.
- The main goal of conducting a prehabilitation program by healthcare workers is to motivate the patient to lead a healthier lifestyle.
- Physical activity is a recommended preventive intervention to reduce postoperative complications.
- Prehabilitation is most effective in high-risk patients, and may be crucial for patients' survival after surgical treatment.
- Employees employed in surgical, urological, gynecological, and oncological clinics should be aware of the importance of prehabilitation and create their own care programs for patients qualified for surgical treatment.
References
1.Bray, F., Ferlay, J., Soerjomataram, I., Siegel, R.L., Torre, L.A., Jemal, A. (2018). Szacunki GLOBOCAN dotyczące zachorowalności i śmiertelności na całym świecie dla 36 nowotworów w 185 krajach. CA Rak J. Clin. 68:394–424.
2.Ferlay, J., Colombet, M., Soerjomataram, I., Siegel, R.L., Soerjomataram, I., Jemal, A. (2019). Szacowanie globalnej zachorowalności i śmiertelności z powodu raka w 2018 r. Cancer J Clin, 68(6):394-424.
3.Zdrojowy, R. (2014). Rak stercza, terMedia.
4.Bray, F., Laversanne, M., Sung, H., Ferlay, J., Siegel, R.L., Soerjomataram, I., Jemal, A. (2024). Szacowanie globalnej zachorowalności i śmiertelności z powodu raka w 2022 r. Cancer J Clin, 74(3):229-263.
5.Barberan-Garcia, A., Ubre, M., Roca, J., Lacy, A.M., Burgos, F., Risco, R., Momblan, D., Balust, J., Blanco, I., Martinez-Palli G. (2018). Personalised Prehabilitation in High-risk Patients Undergoing Elective Major Abdominal Surgery: A Ran-domized Blinded Controlled Trial. Ann Surg, 267(1): 50–56.
6.Pernar, C.H, Ebot, E.M, Wilson, K.M, Mucci, L.A. (2018). Epidemiologia raka prostaty. Harb Perspect Med. 8(12).
7.Perry, R., Scott, L.J., Richards, A., Haase, A.M., Savovic, J., Ness, A.R., Atkinson, C., Hariss, J., Culliford, L., Shah, S., Pufelete, M. (2016). Pre-admission interventions to improve outcome after elective surgery – protocol for a systematic review. Syst Rev, 5: 88.
8.Agrawal, M., Gupta, G.G. (2014). A Clinical Guide for Cancer Prostate Patient. Radical Prostatectomy Surgery. 171-180, Springer.
9.Huynh, L.M., Ahlering, T.E. (2018). Robot-assisted radical prostatectomy: a step-by-step guide. J Endourol, 32(S1):S28–32.
10.Hodges, P., Stafford, R., Coughlin, G.D., Kasza, J., Ashton-Miller, J., Cameron, A.P., Conelly, L., Hall, L.M. (2019). Skuteczność spersonalizowanego programu treningu mięśni dna miednicy na nietrzymanie moczu po radykalnej prostatektomii (MaTchUP): Protokół randomizowanego badania kontrolowanego.https://bmjopen.bmj.com/content/bmjopen/9/5/e028288.full.pdf
11.Moschovas, M.C., Patel, V. (2021). Neurovascular bundle preservation in robotic-assisted radical prostatectomy: How I do it after 15.000 cases. Int Braz J Urol, Nov 12;48(2):212–219.
12.Dubbelman, Y., Groen, J., Wildhagen, M., Rikken, B., Bosch, J.L. (2012). Urodynamiczna kwantyfikacja zmian funkcji wypieracza i parametrów ciśnienie-przepływ po radykalnej prostatektomii: związek ze stanem pooperacyjnego trzymania moczu i wpływ intensywności ćwiczeń mięśni dna miednicy. Neurourol Urodyn. 31(5):637–641.
13.Gianotten, W. L. (2021). Sexual aspects of shared decision making and prehabilitation in men diagnosed with prostate cancer. Int J Impot Res, 33(4):397-400.
14.Rawla, P. (2019). Epidemiologia raka prostaty. Świat J. Oncol. 10:63–89.
15.Levett, D.Z.H., Grimmett, C. (2019). Psychological factors, prehabilitation and surgical outcomes: evidence and future directions. Anaesthesia, 74(Suppl 1): 36–42.
16.Carrier, J., Edwards, D., Harden, J. (2018). Postrzeganie przez mężczyzn wpływu fizycznych konsekwencji radykalnej prostatektomii na jakość ich życia. JBI Database Syst. Rev. Implement. Rep. 16:892–97224.
17.Boden, I., Skinner, E.H., Browning, L., Reeve, J., Anderson, L., Hill, C., Robertson, I.K., Story, D., Denehy, L. (2017). Preoperative physiotherapy for the prevention of respiratory complications after upper abdominal surgery: pragmatic, double blinded, multicentre randomised controlled trial. BMJ, Jan 24:360:j5916.
18.Carli, F., Scheede-Bergdahl, C. (2015). Prehabilitation to Enhance Perioperative Care. Anesthesiol Clin. 33(1): 17–33.
19.Paterson, C., Robert, C., Toohey, K., McKie A. (2020). Prostate Cancer Prehabilitation and the Importance of Multimodal Interventions for Person-centred Care and Recovery. Semin Oncol Nurs; 36(4):151048.
20.Pederse, M.B., Villumsen, B.R., Saxton, J.M., Birch S., Jensen J.B., Nielsen A.H. (2025). Prostate cancer patient experience of prehabilitation prior to radical prostatectomy - A hermeneutical phenomenological study. Eur J Oncol Nurs, 75:102810.
21.Jeske, P., Wojtera, B., Banasiewicz, T. (2022). Prehabilitacja – obecna rola w chirurgii. Polish Journal of Surgery, Volume: 94, No.:3.
22.Ditmyer, M.M., Topp, R., Pifer, M. (2022). M.: Prehabilitation in Preparation for Ortho-paedic Surgery. Orthop Nurs, 21(5): 43–54.
23.Li, C., Carli, F., Lee, L., Charlebois, P., Stein, B., Liberman, A.S., Kaneva, P., Augustin, B., Wongyingsim, M., Gamsa A., Kim D.J., Vassilion M.C., Feldman, L.S. (2013). Impact of a trimodal prehabilitation program on functional recovery after colorectal cancer surgery: a pilot study. Surg En-dosc, 27(4): 1072–1082.
24.Ligibel, J.A., Bohlke, K., May, A.M., Clinton, S.K., Demark-Wahnefried, W., Gilchrist, S.C., Irwin, M.L., Late, M., Mansfield, S., Marshall, T.F., Meyerhardt, J.A., Thomson, C.A., Wood, W.A., Alfano, C.M. (2022). Exercise, Diet, and Weight Management During Cancer Treatment: ASCO Guideline. J Clin Oncol, 1;40(22):2491-2507.
25.Centemero, A., Rigatti, L., Giraudo, D., Lazzeri, M., Lughezzani, G., Zugna, D., Monttori, F., Rigalli, P., Guazzoni G. (2010). Przedoperacyjne ćwiczenie mięśni dna miednicy we wczesnej nietrzymaniu moczu po radykalnej prostatektomii: randomizowane badanie kontrolowane. Eur Urol. 57:1039–1043.
26.Boeri, L., Capogrosso, P., Pederoli, F., Ventimiglia, E., Frego, N., Chierigo, F., Montanari, E., Montorsi, F., Salonia, A. (2018). Objawy depresyjne i niski popęd seksualny po radykalnej prostatektomii: wczesne i długoterminowe wyniki w prawdziwym życiu. J. Urol. 199:474–480.
27.Felde, G., Ebbesen, M.H., Hunskaar, S. (2017). Lęk i depresja związane z nietrzymaniem moczu. 10-letnie badanie kontrolne przeprowadzone w norweskim badaniu HUNT (EPINCONT), Neurourol. Urodyn. 36:322–328.
28.Halski, T., Ptaszkowska, L., Kasper-Jędrzejewska M. (2021). Leczenie zachowawcze dysfunkcji dna miednicy. Studio IMPRESO.
29.Macdonald, R., Fink, H.A., Huckabay, C., Monga, M., Wilt, T.J. (2007). Trening mięśni dna miednicy w celu poprawy nietrzymania moczu po radykalnej prostatektomii: systematyczny przegląd skuteczności. https://doi.org/10.1111/j.1464-410X.2007.06913.x
30.Kannan, P., Winser, S.J., Fung, B., Cheing, G. (2018). Skuteczność treningu mięśni dna miednicy samodzielnie i w połączeniu z biofeedbackiem, stymulacją elektryczną lub jednym i drugim w porównaniu z kontrolą nietrzymania moczu u mężczyzn po prostatektomii: przegląd systematyczny i metaanaliza. Phys. Ther. 98:932–945.
31.Wu, Y., Hikspoors, J.P., Mommen, G., Dabhoiwala, N.F., Hu, X., Tan, L.W., Zhang, S.X, Lamers W.H., (2020). Interactive three-dimensional teaching models of the female and male pelvic floor. Clin Anat, 33(2):275-285.
32.Korakakis, V., O'Sullivan, K., O'Sullivan, P.B., Evagelinou, V., Sotiralis , V., Sideris, A., Sakellariou, K., Karanasios, S., Giakas, G. (2019) Physiotherapist perceptions of optimal sitting and standing posture. Musculoskelet Sci Pract. 39:24-31.
33.O'Sullivan, P.B., Beales, D.J. (2007). Changes in pelvic floor and diaphragm kinematics and respiratory patterns in subjects with sacroiliac joint pain following a motor learning intervention: a case series. Man Ther, Aug;12(3):209-1
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