Aims
The objective of this study is to ascertain whether an early three‐month treatment with electrotherapy and biofeedback restores continence in urinary incontinence patients after radical prostatectomy (RP).
Methods
Design: The study performed a randomized, controlled trial of parallel and open groups.
Configuration: Secondary care, urology department of a university hospital complex.
Participants: Patients sent for RP due to prostate cancer (n = 60), 47 patients finally completed the study.
Interventions: The treatment group (TG) received physiotherapy consisting of electrotherapy and biofeedback, 3 days a week for 3 months, while the control group (CG) received no specific treatment. Both groups received a guide to perform pelvic floor exercises at home. The measurement instruments used were the 1‐ and 24‐hour pad tests and the International Consultation on Incontinence Questionnaire Short‐Form. The recording method used was a micturition (urinary) diary.
Results
The results of the 1‐hour pad test (PT) show statistically significant differences between groups at 3 months (P = .001) and 6 months (P = .001), in favor of those in the TG. Sixty‐four percent of patients in the TG recovered continence as against 9.1% in the CG after 3 months in the 1‐hour PT, in line with the objective of this study.
Conclusions
An early physiotherapy program helps RP patients with urinary incontinence recover continence after 3 months. Moreover, they lead a better quality life.
In patients with clinically localized renal cell carcinoma undergoing nephrectomy, pT stage and Fuhrman grade are the most important prognostic factors for survival and disease-free survival. Tumor necrosis, microscopic vascular invasion, and sinus fat invasion are prognostic factors for death from renal carcinoma which are associated to TNM classification, Fuhrman grade, and tumor size.
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