{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T08:48:11Z","timestamp":1787906891586,"version":"build-2784847793"},"reference-count":29,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T00:00:00Z","timestamp":1763683200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Oncol."],"abstract":"<jats:p>Postoperative urinary incontinence (UI) is one of the most common complications affecting the quality of life in prostate cancer patients. Traditional nursing models mainly rely on outpatient guidance, making it difficult to provide continuous and dynamic rehabilitation support, and patient compliance is generally low. A personalized nursing model based on the WeChat platform offers a new strategy for managing postoperative UI through real-time interaction, training delivery, and individualized feedback. This study enrolled 123 patients with postoperative UI after radical prostatectomy, divided into a WeChat education group (n=65) and a traditional nursing group (n=58). Baseline characteristics, including UI severity and quality of life scores, were comparable between groups. After six months of follow-up, the WeChat group showed a 120 mL reduction in 24-hour urine leakage, an average decrease of 5.8 points in ICIQ-SF score, and an improvement of 0.18 in EQ-5D score\u2014all significantly better than the traditional group (P&amp;lt;0.01). The WeChat group also demonstrated higher compliance (92%) and nursing satisfaction scores (9.2\/10) than the traditional group (P&amp;lt;0.01). Multivariate linear regression analysis identified compliance, initial urine leakage volume, and age as independent predictors of UI improvement, while surgical approach and lymph node dissection were not significantly associated. These findings suggest that the WeChat-based nursing model effectively improves postoperative urinary continence and quality of life, offering a scalable, efficient, and individualized digital nursing strategy for managing UI after prostatectomy.<\/jats:p>","DOI":"10.3389\/fonc.2025.1617035","type":"journal-article","created":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T05:14:25Z","timestamp":1763702065000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Effectiveness of a WeChat-based personalized rehabilitation nursing model for urinary incontinence after prostatectomy: a retrospective cohort study"],"prefix":"10.3389","volume":"15","author":[{"given":"Sijin","family":"Chen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruochen","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zijun","family":"Zou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yaojing","family":"Yang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Le","family":"Lin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liefu","family":"Ye","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jinfeng","family":"Wu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuanman","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei","family":"Song","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qichen","family":"Wei","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yongbao","family":"Wei","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,11,21]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2024.0057","article-title":"Development of machine learning algorithm to predict the risk of incontinence after robot-assisted radical prostatectomy","volume":"38","author":"Amparore","year":"2024","journal-title":"J Endourol"},{"key":"B2","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrtlng.2009.01.010","article-title":"Influence of an early recovery telehealth intervention on physical activity and functioning after coronary artery bypass surgery among older adults with high disease burden","volume":"38","author":"Barnason","year":"2009","journal-title":"Heart Lung"},{"key":"B3","doi-asserted-by":"publisher","DOI":"10.1111\/bju.13048","article-title":"Complications following artificial urinary sphincter placement after radical prostatectomy and radiotherapy: a meta-analysis","volume":"116","author":"Bates","year":"2015","journal-title":"BJU Int"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.1038\/s41585-020-0287-y","article-title":"Considering the role of radical prostatectomy in 21st century prostate cancer care","volume":"17","author":"Costello","year":"2020","journal-title":"Nat Rev Urol"},{"key":"B5","doi-asserted-by":"publisher","DOI":"10.7326\/M20-7006","article-title":"The evidence behind robot-assisted abdominopelvic surgery: A systematic review","volume":"174","author":"Dhanani","year":"2021","journal-title":"Ann Intern Med"},{"key":"B6","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0300852","article-title":"Logistic burdens of cancer care: a qualitative study","volume":"19","author":"Dona","year":"2024","journal-title":"PloS One"},{"key":"B7","doi-asserted-by":"publisher","first-page":"608059","DOI":"10.1155\/2012\/608059","article-title":"Design and development of a telerehabilitation self-management program for persons with chronic lower limb swelling and mobility limitations: preliminary evidence","volume":"2012","author":"Faett","year":"2012","journal-title":"Nurs Res Pract"},{"key":"B8","doi-asserted-by":"publisher","DOI":"10.1097\/JU.0000000000002498","article-title":"Robot-assisted radical prostatectomy using the kangDuo surgical robot-01 system: A prospective, single-center, single-arm clinical study","volume":"208","author":"Fan","year":"2022","journal-title":"J Urol"},{"key":"B9","doi-asserted-by":"publisher","first-page":"CD009252","DOI":"10.1002\/14651858.CD009252","article-title":"Pelvic floor muscle training with feedback or biofeedback for urinary incontinence in women","volume":"3","author":"Fernandes","year":"2025","journal-title":"Cochrane Database Syst Rev"},{"key":"B10","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2005.05893.x","article-title":"Twelve-month self-reported quality of life after retropubic radical prostatectomy: a prospective study with Rand 36-Item Health Survey (Short Form-36)","volume":"97","author":"Ficarra","year":"2006","journal-title":"BJU Int"},{"key":"B11","doi-asserted-by":"publisher","first-page":"84","DOI":"10.1016\/j.eururo.2016.12.003","article-title":"The benefits and harms of different extents of lymph node dissection during radical prostatectomy for prostate cancer: A systematic review","volume":"72","author":"Fossati","year":"2017","journal-title":"Eur Urol"},{"key":"B12","doi-asserted-by":"publisher","first-page":"e12382","DOI":"10.1111\/jjns.12382","article-title":"Effect of continuous nursing based on wechat platform on postoperative rehabilitation of patients with lumbar disc herniation","volume":"18","author":"He","year":"2021","journal-title":"Jpn J Nurs Sci"},{"key":"B13","doi-asserted-by":"publisher","first-page":"6947839","DOI":"10.1155\/2020\/6947839","article-title":"The efficacy of the weChat app combined with pelvic floor muscle exercise for the urinary incontinence after radical prostatectomy","volume":"2020","author":"Junwen","year":"2020","journal-title":"BioMed Res Int"},{"key":"B14","doi-asserted-by":"publisher","first-page":"95","DOI":"10.1007\/s00192-016-3070-0","article-title":"A new validated score for detecting patient-reported success on postoperative ICIQ-SF: a novel two-stage analysis from two large RCT cohorts","volume":"28","author":"Karmakar","year":"2017","journal-title":"Int Urogynecol J"},{"key":"B15","doi-asserted-by":"publisher","DOI":"10.1016\/j.euf.2018.04.021","article-title":"Integrity of the urethral sphincter complex, nerve-sparing, and long-term continence status after robotic-assisted radical prostatectomy","volume":"5","author":"Kim","year":"2019","journal-title":"Eur Urol Focus"},{"key":"B16","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2017.06.035","article-title":"Quality of life outcomes after primary treatment for clinically localised prostate cancer: a systematic review","volume":"72","author":"Lardas","year":"2017","journal-title":"Eur Urol"},{"key":"B17","doi-asserted-by":"publisher","first-page":"e31274","DOI":"10.2196\/31274","article-title":"Adherence with online therapy vs face-to-face therapy and with online therapy vs care as usual: Secondary analysis of two randomized controlled trials","volume":"23","author":"Lippke","year":"2021","journal-title":"J Med Internet Res"},{"key":"B18","doi-asserted-by":"publisher","first-page":"32","DOI":"10.1097\/JU.0000000000003967","article-title":"Perioperative, oncological, and functional outcomes between robot-assisted laparoscopic prostatectomy and open radical retropubic prostatectomy: A randomized clinical trial","volume":"212","author":"Nahas","year":"2024","journal-title":"J Urol"},{"key":"B19","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2023.2228689","article-title":"Telerehabilitation following fast-track total knee arthroplasty is effective and safe: a randomized controlled trial with the ReHub(R) platform","volume":"46","author":"Nuevo","year":"2024","journal-title":"Disabil Rehabil"},{"key":"B20","doi-asserted-by":"publisher","DOI":"10.1002\/pon.5263","article-title":"A prospective study of psychological distress after prostate cancer surgery","volume":"28","author":"Occhipinti","year":"2019","journal-title":"Psycho-oncology"},{"key":"B21","doi-asserted-by":"publisher","first-page":"e0198352","DOI":"10.1371\/journal.pone.0198352","article-title":"Biopsychosocial factors associated with non-recovery after a minor transport-related injury: A systematic review","volume":"13","author":"Samoborec","year":"2018","journal-title":"PloS One"},{"key":"B22","doi-asserted-by":"publisher","DOI":"10.1111\/bjd.20441","article-title":"Views on mobile health apps for skin cancer screening in the general population: an in-depth qualitative exploration of perceived barriers and facilitators","volume":"185","author":"Sangers","year":"2021","journal-title":"Br J Dermatol"},{"key":"B23","doi-asserted-by":"publisher","first-page":"581","DOI":"10.5534\/wjmh.200114","article-title":"How to prevent and manage post-prostatectomy incontinence: a review","volume":"39","author":"Schifano","year":"2020","journal-title":"World J Men\u2019s Health"},{"key":"B24","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2024.42925","article-title":"Pressure-mediated biofeedback with pelvic floor muscle training for urinary incontinence: A randomized clinical trial","volume":"7","author":"Wang","year":"2024","journal-title":"JAMA Netw Open"},{"key":"B25","doi-asserted-by":"publisher","DOI":"10.2196\/52464","article-title":"Efficacy of a weChat-based multimodal digital transformation management model in new-onset mild to moderate hypertension: randomized clinical trial","volume":"25","author":"Wang","year":"2023","journal-title":"J Med Internet Res"},{"key":"B26","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsxm.2020.01.008","article-title":"A systematic review of pelvic floor muscle training for erectile dysfunction after prostatectomy and recommendations to guide further research","volume":"17","author":"Wong","year":"2020","journal-title":"J Sexual Med"},{"key":"B27","doi-asserted-by":"publisher","DOI":"10.1080\/07357907.2024.2308173","article-title":"Impacts of perioperative comprehensive nursing intervention on postoperative urinary incontinence and quality of life of patients undergoing laparoscopic radical prostatectomy","volume":"42","author":"Xin","year":"2024","journal-title":"Cancer Invest"},{"key":"B28","doi-asserted-by":"publisher","first-page":"15386","DOI":"10.2196\/15386","article-title":"Using video feedback through smartphone instant messaging in fundamental nursing skills teaching: observational study","volume":"7","author":"Yang","year":"2019","journal-title":"JMIR Mhealth Uhealth"},{"key":"B29","doi-asserted-by":"publisher","first-page":"103565","DOI":"10.1016\/j.ijnurstu.2020.103565","article-title":"Benefits of a WeChat-based multimodal nursing program on early rehabilitation in postoperative women with breast cancer: A clinical randomized controlled trial","volume":"106","author":"Zhou","year":"2020","journal-title":"Int J Nurs Stud"}],"container-title":["Frontiers in Oncology"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fonc.2025.1617035\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T05:14:25Z","timestamp":1763702065000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fonc.2025.1617035\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,21]]},"references-count":29,"alternative-id":["10.3389\/fonc.2025.1617035"],"URL":"https:\/\/doi.org\/10.3389\/fonc.2025.1617035","relation":{},"ISSN":["2234-943X"],"issn-type":[{"value":"2234-943X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,21]]},"article-number":"1617035"}}