Contribution of early intensive prolonged pelvic floor exercises on urinary continence recovery after bladder neck‐sparing radical prostatectomy: Results of a prospective controlled randomized trial

Manassero, Francesca; Traversi, C.; Ales, Valeria; Pistolesi, Donatella; Panicucci, Erica; Valent, Francesca; Selli, Cesare

doi:10.1002/nau.20442

Cited by 90 publications

(105 citation statements)

References 23 publications

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“…[61][62][63] In multivariate analyses of pre-and postoperative factors, significant factors that improved chances of postoperative continence were younger age, preservation of both neurovascular bundles, absence of an anastomotic stricture, preservation of functional urethral length, eversion of the bladder neck, and a smaller prostate volume. 61,[64][65][66][67][68] If incontinence is present, pelvic floor exercise, as well as biofeedback, may be beneficial.…”

Section: Urinary and Sexual Functionmentioning

confidence: 99%

Management of Complications of Prostate Cancer Treatment

Michaelson

Cotter

Gargollo

et al. 2008

CA: A Cancer Journal for Clinicians

162

146

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Section: Urinary and Sexual Functionmentioning

confidence: 99%

Management of Complications of Prostate Cancer Treatment

Michaelson

Cotter

Gargollo

et al. 2008

CA: A Cancer Journal for Clinicians

162

146

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“…Die BP kann bei prostatogen bedingtem Nachtröpfeln [51,52], nach TUR-P [53] oder nach radikaler Prostatektomie [54] zur Verbesserung der Belastungsinkontinenz führen.…”

Section: Therapieoptionen Der Belastungsinkontinenz Beckenbodenphysiounclassified

Urininkontinenz beim Mann – ein Tabuthema

Kozomara-Hocke

Hermanns

Poyet

2016

Praxis

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Male urinary incontinence is an underestimated and frequently not broached issue. The urinary incontinence is divided into stress-, urge incontinence and hybrid forms as well as overflow incontinence. The fact that there are increasingly more men over 60 means that the prevalence of the urinary incontinence is up to 40%, and urinary incontinence will increasingly gain importance in daily routine practice. Many investigations and therapies can be realized by the general practitioner. Already simple therapy approaches can lead to a considerable clinical improvement of male urinary incontinence. If the initial therapy fails or pathological results (i. e. microhaematuria, recurrent urinary tract infections, raised residual urine and so on) are found, the patient should be referred to a urologist. Si la thérapie primaire ne réussit pas à résoudre l'incontinence urinaire ou on trouve des résultats pathologique (hématurie microscopique, infection urinaire récidivé, urine résiduelle augmenté etc.) le patient doit être envoyé chez le spécialiste d'urologie.4

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“…There were several studies on the role of Pelvic Muscle Exercises (PME), Electrical Stimulation (ES), and biofeedback (BFB) (5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21). Of thesis studies, some showed better continence for PME group (3,(6)(7)(8)(9)(10)(11)(12)(13), while others did not show improvement (4,5,(14)(15)(16)(17)(18)(19)(20).…”

Section: Introductionmentioning

confidence: 99%

“…Of thesis studies, some showed better continence for PME group (3,(6)(7)(8)(9)(10)(11)(12)(13), while others did not show improvement (4,5,(14)(15)(16)(17)(18)(19)(20). ES is one method, which may enhance the success of PME in patients with incontinence after RP (12,24).…”

Section: Introductionmentioning

confidence: 99%

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Radikal Prostatektomi Sonrası Üriner İnkontinansın Düzelmesinde Pelvik Tabanda Biofeedback ve Elektrik Stimülasyonunun Etkisi

Ahmed¹,

Mohammed²,

Amansour³

2012

tftr

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Objective: Urinary incontinence (UI) is one of the most distressing postoperative problems of radical prostatectomy (RP) and negatively affects the quality of life (QOL). We assessed the effect of pelvic muscle exercises (PME), electrical stimulation (ES) and biofeedback (BFB) on UI after RP. Materials and Methods: 80 patients, who underwent RP, were randomized into three groups. Group I (n=26) received instructions about PME, group II (n=26) received ES and group III (n=28) received ES plus BFB. The treatment was started one week after catheter removal, twice a week for 12 weeks. The evaluation of continence was performed at time 0, 6, 12 weeks, and 24 weeks during follow-up, using the 24-hour pad test and the QOL using the incontinence impact questionnaire -7 (IIQ-7). Results: The mean leakage weight became significantly lower (p<0.05) in group III than in groups II and I starting at 6 weeks until 24 weeks of follow-up. A significant difference (p<0.05) between the groups in terms of percentage of continent patients was achieved from 12 weeks (71.42%, 53.85% and 34.62%) to 24 weeks (96.43%, 76.92% and 65.38%) for groups III, II and I, respectively. Conclusion: Early, noninvasive therapy with ES and BFB has a significant positive effect on the duration and the degree of UI and QOL. Turk J Phys Med Re hab 2012;58:170-6. Key Words: Urinary incontinence; radical prostatectomy; electrical stimulation; biofeedback Özet Amaç: Üriner inkontinans (Üİ) radikal prostatektominin (RP) en sıkıntı verici ameliyat sonrası komplikasyonlarından olup, yaşam kalitesini (YK) olumsuz etkiler. Bu çalışmada pelvik kas egzersizleri (PKE), elektrik stimülasyonu (ES) ve biofeedback (BFB) uygulamasının RP sonrası Üİ üzerindeki etkisini araştırdık. Gereç ve Yöntem: RP geçirmiş 80 hasta üç gruba randomize edildi. Grup I e (n=26) PKE, Grup II'ye (n=26) ES ve Grup III'e (n=28) ES artı BFB verildi. Kateterin çıkarılmasından bir hafta sonra başlanan tedavi on iki hafta boyunca haftada iki gün uygulandı. 0, 6, 12 ve 24. haftalardaki takip sırasında kontinans 24 saatlik ped testi ile yaşam kalitesi ise inkontinans etki anketi-7 (IIQ-7) ile değerlendirilmiştir. Bulgular: Grup I de, altıncı haftadan başlayarak 24 üncü hafta takiplerine kadar görülen ortalama sızıntı miktarı Grup I ve II ye göre önemli ölçüde daha azdı. Gruplarda kontinans oranı bakımından 12. haftada (Grup III, II ve I için sırasıyla %71,42, %53,85 ve %34,62) ve 24 üncü haftada (%94,43, %76,92 ve %65,38) önemli farklara ulaşıldı. Sonuç: ES ve BFB ile erken noninvaziv terapinin Üİ süresi ve derecesi ile YK üzerinde önemli bir etkisi bulunmaktadır. Türk Fiz T›p Re hab Derg

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Contribution of early intensive prolonged pelvic floor exercises on urinary continence recovery after bladder neck‐sparing radical prostatectomy: Results of a prospective controlled randomized trial

Abstract: Our study suggests that early intensive prolonged PFE can further increase the number of continent patients and this improvement persists in the first 12 months. The second 6 months following surgery are still useful to recovery.

Cited by 90 publications

References 23 publications

Management of Complications of Prostate Cancer Treatment

Management of Complications of Prostate Cancer Treatment

Urininkontinenz beim Mann – ein Tabuthema

Radikal Prostatektomi Sonrası Üriner İnkontinansın Düzelmesinde Pelvik Tabanda Biofeedback ve Elektrik Stimülasyonunun Etkisi

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