Background: Benign Prostatic Hyperplasia (BPH) is a common urological disorder in older men and may cause urinary elimination dysfunction after catheter removal or procedures such as transurethral resection of the prostate (TURP) and prostatectomy. Patients may experience urinary incontinence, urgency, nocturia, urinary retention, and impaired bladder control. Structured bladder training has emerged as a non-pharmacological nursing approach to support continence and bladder recovery. Objective: This systematic review analyzed the effectiveness of structured bladder training nursing interventions for urinary elimination recovery and reduction of urinary incontinence symptoms in patients with BPH or post-catheterization urinary dysfunction. Methods: A systematic review was conducted using the PRISMA 2020 framework. Literature searches were reported in the source document across ScienceDirect, PubMed, EBSCOhost, Cochrane Library, and ProQuest, with additional manual searching. Eligible studies included randomized controlled trials, quasi-experimental studies, intervention studies, and clinical trials published in 2020–2025 that evaluated bladder training or related continence-rehabilitation interventions. Methodological quality was assessed using the Joanna Briggs Institute Critical Appraisal Checklist for Randomized Controlled Trials. Results: Ten studies were included. The reviewed interventions improved urinary continence and bladder control and reduced urinary retention, urgency, nocturia, frequency, residual urine, and recatheterization in various populations. PFMT combined with urgency suppression significantly reduced urinary frequency, urgency, and IPSS (p0.001). Biofeedback combined with PFMT produced greater reductions in urinary incontinence than standard exercise. Conclusion: Structured bladder training and related continence-rehabilitation interventions show potential as evidence-based nursing strategies for improving urinary elimination recovery and urinary continence in patients with BPH and post-urological-procedure dysfunction.
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