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Self‐Management Interventions for Lower Urinary Tract Symptoms After Radical Prostatectomy: A Scoping Review of Intervention Components, Outcomes and Research Gaps

Year: 2026

Type: review

Abstract: AIM: To map the existing literature on self-management interventions for lower urinary tract symptoms (LUTS) following radical prostatectomy (RP) and clarify their characteristics and research gaps. DESIGN: Scoping review. REVIEW METHODS: The study followed the Arksey and O'Malley methodological framework. Eligibility criteria included studies of adult men after RP that evaluated interventions incorporating self-management components for LUTS. Data were extracted, categorized and synthesized according to intervention content. DATA SOURCES: PubMed, CINAHL, PsycINFO and Web of Science were searched from their database inception to July 2026 to identify studies describing support programmes for patients undergoing RP. RESULTS: Of the 480 identified records, 17 met the inclusion criteria. Interventions comprised lifestyle modification, follow-up care and LUTS-symptom management, delivered as standalone or combined approaches. Co-interventions included pelvic-floor muscle training, biofeedback, physical training and psychological counselling. Patients' self-efficacy, particularly their perceived ability to control LUTS, was reported as a factor associated with promoting self-management behaviours. While some studies reported improvements in key LUTS outcomes following the interventions, others found no significant between-group differences or reported worsening of certain symptoms. CONCLUSION: Although self-management support for LUTS following RP is diverse, this review identified inconsistencies in intervention components and outcome measures, as well as a lack of comparable interventional studies. Strategies to enhance motivation, symptom monitoring, lifestyle modification and education on pelvic floor muscle training were commonly incorporated into multifaceted self-management interventions following RP. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Standardizing interventions description and adopting an LUTS-specific outcome framework will strengthen the evidence base and help guide nurse-led postoperative follow-up models. IMPACT: Multifaceted and continuous self-management interventions may support patients' ability to proactively manage postoperative LUTS and promote greater autonomy in daily life. REPORTING METHOD: PRISMA-ScR. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution.

Source: Nursing Open

DOI: 10.1002/nop2.70991

Authors: Koji Amano, Kumi Suzuki

Institutions: Mukogawa Women's University, Osaka Medical and Pharmaceutical University

Language: English

Topic: Urinary Bladder and Prostate Research

Subfield: Urology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $3,390