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