Effect of preoperative biofeedback/pelvic floor training on continence in men undergoing radical prostatectomy

Bales, Gregory T.; Gerber, Glenn S.; Minor, Thomas X.; Mhoon, Deborah A; McFarland, Jeanne M; Kim, Hyung L.; Brendler, Charles B.

doi:10.1016/s0090-4295(00)00687-7

Cited by 116 publications

(112 citation statements)

References 11 publications

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“…Bales et al randomized 100 men in a clinical trial to receive training exercises for the pelvic floor muscles with biofeedback (intervention) or without biofeedback (control), in both the pre-and postoperative stages of prostatectomy, in order to improve urinary incontinence. Six months after surgery, the continence rates, as defined by the use of one diaper or less per day, were 94% and 96% in the biofeedback and control groups, respectively (P = 0.596), suggesting that no improvements were obtained from preoperative biofeedback training (5). However, in that study, patients received both training of the pelvic floor muscles and verbal instructions from nurses, and were evaluated by questionnaires or phone calls, which may have influenced the results.…”

Section: Resultsmentioning

confidence: 96%

Electrostimulation, response of the pelvic floor muscles, and urinary incontinence in elderly patients post prostatectomy

Zaidan

Silva

2014

Fisioter. mov.

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Electrostimulation, response of the pelvic floor muscles, and urinary incontinence in elderly patients post prostatectomy [I] Eletroestimulação, resposta dos músculos do assoalho pélvico e incontinência urinária em pós-prostatectomizados [A] Patrícia Zaidan [a] , Elirez Bezerra da Silva [b] [a] Specialist in Urogynecological Physical Therapy, University Gama Filho (UGF -RJ), collaborator physical therapist of the Outpatient Urogynecologic Physical Therapy of Hospital dos Servidores do Estado do Rio de Janeiro, Rio de Janeiro, RJBrazil, e-mail: patriciazaidan@gmail.com [b] PhD in Physical Education, University Gama Filho (UGF -RJ), coordinator of Post-Graduation Course in Physical Therapy (UGF), professor of the Post-Graduation stricto sensu Program in Sciences of the Exercise and Sports (UGF), coordinator of the Research Group Clinical School (UGF), Rio de Janeiro, RJ -Brazil, e-mail: elirezsilva@cosmevelho.com.br [R] Abstract Objective: to investigate the response of the pelvic floor muscles (PFM), and urinary incontinence (UI), in patients having undergone a prostatectomy, after treatment using electrical stimulation. Materials and methods: this observational study was conducted in an outpatient urogynecologic physical therapy clinic of Hospital dos Servidores in Rio de Janeiro, Brazil from August to September 2012. Ten patients (aged, 64 ± 7 years) with urinary incontinence resulting from radical prostatectomy, having received surgery within six months of study entry, without urinary infection, and without metallic implants underwent electrical stimulation of the PFM, while in lateral decubitus position with knees and hips flexed. The parameters used were 65 Hz frequency, pulse width of 500 μs, biphasic current, intensity according to the tolerance level reported by the patient, perineal contraction time of four seconds, and rest time of eight seconds for 20 minutes twice a week, totaling 16 sessions of electrical stimulation with active-assisted contraction. Patients were evaluated before and after electrical stimulation through physical therapy evaluation of urinary incontinence, by being asked about the number of disposable guards used daily, using a visual analogue scale (VAS) to measure how the UI interfered with activities of daily living, and by electromyographic biofeedback to measure the work of the PFM. Data were analyzed using Student's paired t-tests and a significance level of 0.05. Results: after 16 sessions of electrical stimulation, the electromyographic biofeedback evaluation showed a significantFisioter Mov. 2014 jan/mar;27(1):93-100Zaidan P, da Silva EB. 94 increase in muscle strength of 10.73 ± 8.64 to 17.16 ± 9.00 μV (t = -3.39, P = 0.008), a significant decrease in the number of diapers used before and after treatment (3.9 ± 1.2 to 1.8 ± 1.5, respectively; t = 5.16, P = 0.0006), and a significant decrease in the interference of urinary incontinence on daily activities of 9.6 ± 0.5 to 4.0 ± 3.8 (t = 5.15, P = 0.0006). Conclusion: electrical stimulation may represent a nove...

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Section: Resultsmentioning

confidence: 96%

Electrostimulation, response of the pelvic floor muscles, and urinary incontinence in elderly patients post prostatectomy

Zaidan

Silva

2014

Fisioter. mov.

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“…Bales et al [39] randomly allocated 100 men who were scheduled to undergo radical prostatectomy to a group of intensive PFMT with BF and to a control group that received only brief explanation on PFMT. Continence rates were not signifi cantly different between the two groups; there were some shortcomings though the most important being the insuffi cient exposure to an adequate and meaningful PFMT program.…”

Section: Rehabilitation Therapy and Post-prostatectomy Urinary Incontmentioning

confidence: 99%

Rehabilitation Therapy and Urinary Incontinence after Radical Retropubic Prostatectomy

2006

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Introduction: To assess the efficacy and evidence-based data in the literature about rehabilitation therapy in patients with post-prostatectomy urinary incontinence. Materials and Methods: An analysis of published full-length papers identified by a Medline search from 1990 through 2004 was carried out. Abstracts published in peer-reviewed journals in the same period of time were also considered. Results: Efficacy, tolerability and safety of rehabilitation therapy were evaluated, according to the available data in the literature, with special regard to randomized controlled trials in order to define a clear-cut, evidence-based efficacy of this form of therapy. Conclusions: Rehabilitation therapy is a simple and safe way of managing post-prostatectomy urinary incontinence. Nonetheless, few randomized controlled studies have been carried out so far to establish its evidence-based efficacy and it is thus not possible to be scientifically sure of its value. It is therefore necessary to undertake well-designed randomized controlled studies, with a large number of patients, a well-matched control group and an adequate follow-up.

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“…However, spontaneous improvement in continence status may occur up to one year after RP (3). The main causes of Post-Prostatectomy Incontinence (PPI) might be intrinsic sphincter deficiency, and/or detrusor overactivity and/or decreased bladder compliance (4).…”

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%

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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Effect of preoperative biofeedback/pelvic floor training on continence in men undergoing radical prostatectomy

Cited by 116 publications

References 11 publications

Electrostimulation, response of the pelvic floor muscles, and urinary incontinence in elderly patients post prostatectomy

Electrostimulation, response of the pelvic floor muscles, and urinary incontinence in elderly patients post prostatectomy

Rehabilitation Therapy and Urinary Incontinence after Radical Retropubic Prostatectomy

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

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