ORIGINAL RESEARCH article
Front. Med.
Sec. Intensive Care Medicine and Anesthesiology
Nursing-Led Multidisciplinary ERAS Collaboration Improves Early Recovery After Laparoscopic Radical Prostatectomy for Localized Prostate Cancer: A Retrospective Cohort Study
Provisionally accepted
- Southwest Medical University, Luzhou, China
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Background: Postoperative recovery after laparoscopic radical prostatectomy (LRP) is influenced by perioperative nursing care. Therefore, this retrospective study aimed to compare outcomes from nursing-led perioperative multidisciplinary nursing collaboration based on Enhanced Recovery After Surgery (PMNC) with standard care in 235 patients undergoing LRP for localized prostate cancer. Methods: A retrospective cohort study was conducted in 235 patients with localized prostate cancer undergoing LRP at a tertiary hospital in Southwest China. Patients received either standard care (n=115, routine perioperative nursing in 2020–2021) or PMNC (n=120, implemented in 2022), which comprised eight structured ERAS-based interventions delivered jointly by nurses, anesthesiologists, and urologists. Primary outcomes were time to ambulation, catheter removal, urinary incontinence at discharge, and hospital stay; secondary outcomes included pain at 24/48 hours, complications, 30-day readmission, and time to oral intake. Outcomes were compared using t tests, Mann– Whitney U, chi-square, or Fisher's exact tests, with significance set at P<0.05. Results: The PMNC group showed significantly earlier ambulation (14.1 vs 17.8 hours, P<0.001), earlier catheter removal (4.4 vs 5.4 days, P<0.001), shorter hospital stay (5.2 vs 6.1 days, P<0.001), and lower incontinence at discharge (32.5% vs 56.5%, P<0.001). Pain scores were also lower at 24 hours (P<0.001) and 48 hours (P<0.001). Multivariate logistic regression confirmed PMNC as an independent protective factor for early continence (OR=0.47, 95% CI: 0.28–0.80, P=0.005). Conclusion: A structured PMNC model was associated with improved early recovery after LRP, including faster mobilization, earlier catheter removal, lower incontinence rates, shorter hospitalization, and reduced pain.
Keywords: Patient Care Team, Prostatic Neoplasms, Perioperative Care, Urinary Incontinence, Prostatectomy
Received: 15 Sep 2025; Accepted: 17 Dec 2025.
Copyright: © 2025 Chen, Li, Chen, Zhang and Zhu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Shuang Zhu
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