An Enhanced Nursing Programme Based on mp-MRI Assessment for Urinary Continence Recovery After Radical Prostatectomy.

BACKGROUND: This study aimed to investigate the significance of integrating multiparametric magnetic resonance imaging (mp-MRI) assessment with proactive nursing care for patients undergoing radical prostatectomy for prostate cancer. METHODS: A retrospective cohort study was conducted, collecting clinical data from 130 patients who underwent radical prostatectomy for prostate cancer in the Department of Urology of the Affiliated Hospital 2 of Nantong University from June 2023 to October 2025. Patients were divided into a study group (n = 65) and a control group (n = 65) based on perioperative nursing care protocols. The control group underwent routine perioperative nursing care in the urology department, whereas the study group received mp-MRI assessment combined with proactive nursing guidance and routine care. The urinary continence recovery rate, urodynamic parameters, nursing compliance and complication rate at different postoperative time points were compared between the two groups. RESULTS: At 6 months postoperative follow-up, the total urinary continence rate (complete + social continence) and the absence of severe incontinence in the study group were significantly higher than those in the control group (p < 0.05), with statistically significant differences between the groups (p < 0.05). Repeated-measures analysis of variance (ANOVA) confirmed significant group effects for all urodynamic parameters, with comparable recovery trajectories between the groups, except for residual urine volume. CONCLUSIONS: In this retrospective cohort study, an enhanced nursing programme based on mp-MRI assessment was associated with improved urinary continence recovery and urodynamic parameters in patients undergoing radical prostatectomy. However, these findings require confirmation in prospective randomised controlled trials.