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Addition of a surgery-specific module to a perioperative, telemedicine program for improving functional outcomes after radical prostatectomy
nature.com/articles/s4139…
Study evaluated whether adding a radical prostatectomy (RP)–specific pre- and rehabilitation module to an optimized digital perioperative coaching program (“Betty”) improves recovery after robot-assisted RP. Among 333 patients (177 controls, 156 intervention), baseline characteristics were comparable. At six weeks, continence recovery was significantly higher in the digital program group (83.3% vs. 68.4%, p=0.002), with markedly reduced need for postoperative physiotherapy for persistent incontinence (27.5% vs. 58.8%, p<0.001). Although not statistically significant, the intervention group also showed trends toward fewer complications, unplanned visits, and reoperations, with more same-day discharges and higher patient satisfaction.
These findings suggest that incorporating surgery-specific content into a digital perioperative program enhances early functional outcomes and perioperative care after RP, though randomized trials are needed to confirm benefit. #ProstateCancer
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