Pelvic Floor Muscle Training in Radical Prostatectomy and Recent Understanding of the Male Continence Mechanism: A Review

Sayner, Alesha; Nahon, Irmina

doi:10.1016/j.soncn.2020.151050

Cited by 6 publications

(8 citation statements)

References 40 publications

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“…Looking at the previous evidence, it was possible to note that PMFT is a therapy that remains useful in the roster of nonpharmacological measures of PPUI from a nursing perspective. Sayner and Nahon 24 suggest that attention should be paid to the importance of individualized prescription in the training clinic, according to the uniqueness and particularities of each patient.…”

Section: Methodological Design Sample Size Resultsmentioning

confidence: 99%

Post-Prostatectomy Incontinence and Nursing Care: An Integrative Review

Eufrasio

Pita

Romualdo

et al. 2022

ESTIMA, Braz. J. Enterostomal Ther.

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Objective: To identify nursing actions corresponding to assistance in post-prostatectomy urinary incontinence (PPUI). Method: This is an integrative review conducted in PubMed Central, ScienceDirect, Scopus and Web of Science, using the English terms “post-prostatectomy incontinence” and “nursing care,” combined with the Boolean operator AND. Articles published as full text or articles in press, within the open access system, without distinction of languages or year of publication, were included. Results: The initial search found 477 papers, but only six met the eligibility criteria. The five types of nursing actions identified were pelvic floor muscle training; urine stream interruption test with Unit Under Test timer; psychological nursing intervention program;telephone nursing support;and continuous post-prostatectomy nursing care, together with the previous interventions. Most studies showed good methodological quality and low risk of bias. Conclusion: The present review allowed the identification of different types of management of PPUI by nursing, even considering that the scenario of studies on the area is still scarce. It is expected that this review may be useful for the development of quality nursing care protocols for PPUI.

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Section: Methodological Design Sample Size Resultsmentioning

confidence: 99%

Post-Prostatectomy Incontinence and Nursing Care: An Integrative Review

Eufrasio

Pita

Romualdo

et al. 2022

ESTIMA, Braz. J. Enterostomal Ther.

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“…Sayner and Nahon (2020) postulated that optimal postoperative urinary continence outcomes could be reached by an individualized prescription of PFME/PFMT ( 29 ). The exercises should be taught in such a way that every individual patient can follow.…”

Section: Discussionmentioning

confidence: 99%

Understanding long-term continence rates after robot-assisted laparoscopic prostatectomy – one-year follow-up on “Cognitive ability as a non-modifiable risk factor for post-prostatectomy urinary incontinence”

Reichert¹,

Ploeger

Uhlig³

et al. 2022

Front. Surg.

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PurposeTo evaluate long-term continence rates (12 months) in patients after robot-assisted laparoscopic prostatectomy (RALP) in relation to their cognitive ability (CoAb), which proved to be a predictor for early post-prostatectomy incontinence.Material & MethodsThis is the 12-month follow-up evaluation of our previously published observational single-center, prospective evaluation of 84 patients who underwent RALP as treatment of their localized prostate cancer between 07/2020 and 03/2021. Post-prostatectomy incontinence (PPI) was measured by asking patients about their 24 h pad usage, whereby 0 pads were considered continent and ≥1 pad was considered incontinent. CoAb was evaluated by performing the Mini-Mental State Examination prior to surgery. Possible predictors for PPI were evaluated using univariate and multivariable logistic regression models.ResultsMultivariable logistic regression analyses identified early incontinence status and nerve sparing (NS) as independent predictors for PPI after 12 months, resulting in a 5.69 times higher risk for PPI when the loss of urine was between 10 and 50 ml during the early performed pad test (one day after catheter removal) compared to 0–1 ml loss of urine [95% confidence interval (CI): 1.33–28.30, p = 0.024] and a 6.77 times higher risk for PPI, respectively, when only unilateral NS was performed compared to bilateral NS (95% CI: 1.79–30.89, p = 0.007). CoAb lost its predictive value for long-term PPI (p = 0.44).ConclusionThe results of this study suggest that PPI is a dynamic, rather than a static condition with a dynamically changing pathophysiology within the first 12 months after RALP. Coping methods and therapies should adapt to this circumstance.

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“…Radikal Prostatektomi (RP) merupakan standar emas pilihan terapeutik dengan hasil harapan hidup lebih dari 10 tahun untuk pengobatan kanker pada organ prostat, namun hal ini secara umum terdapat beberapa komplikasi (Sayılan & Özbaş, 2018). RP adalah pengobatan kuratif yang umum untuk kanker prostat (terlokalisasi) yang mengakibatkan terganggunya fitur anatomis seperti sfingter uretra internal (IUS), uretra, dan struktur ligamen dan fasia, hal ini menjadi faktor terjadinya inkontinensia urine (UI) (Sayner & Nahon, 2020). Inkontinensia urine dapat mengganggu dan terbukti paling memengaruhi kualitas hidup pasien sebagai efek samping yang umum terjadi setelah prostatektomi radikal.…”

Section: Pendahuluanunclassified

“…Kanker prostat adalah kanker kedua yang paling umum pada lakilaki, dengan lebih dari satu juta kasus baru didiagnosis di seluruh dunia pada tahun 2018. Dengan pengecualian di beberapa negara Asia dan Eropa Timur, angka kematian telah menurun selama dua dekade terakhir, dengan kelangsungan hidup 5 tahun tingkat 95,2% (Sayner & Nahon, 2020). Kanker prostat adalah kanker paling mematikan kedua di antara laki-laki di Amerika Serikat dan menempati urutan keenam di Taiwan (Pan et al, 2019).…”

Section: Pendahuluanunclassified

“…Radikal prostatektomi adalah pengobatan (kuratif) yang umum untuk kanker prostat (terlokalisasi) yang mengakibatkan terganggunya struktur anatomis seperti sfingter uretra internal, uretra, dan struktur ligamen dan fasia, hal ini menjadi faktor terjadinya inkontinensia urine (Sayner & Nahon, 2020). Hal ini diduga bahwa prostatektomi berpotensi merusak mekanisme sfingter otot polos dan komponen otot rangka.…”

Section: Pendahuluanunclassified

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Pelvic Floor Muscle Exercise pada Pasien Post Radikal Prostatektomi dalam Menurunkan Inkontinensia Urine dan Kualitas Hidup

Apriyanto

Sukartini

Purwanti

et al. 2022

JKS

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This study aims to determine the effect of Pelvic Floor Muscle Exercise (PMFE) on urinary incontinence and quality of life (QOL) in post-radical prostatectomy prostate cancer patients. This research method is a systematic review by searching literature through several indexed electronic databases (Scopus, Science Direct, CINAHL, PubMed, ProQuest, SAGE, Springer Link). The study results were obtained from 10 articles on pelvic floor muscle exercise (PFME) modality therapy. Eight pieces explained that PFME without a combination effectively reduced urinary incontinence and improved the quality of life (QOL) of post-RP patients; one article explained the effectiveness of the variety of PFME with electrical stimulation in reducing incontinence urine in post-RP patients. One article describes the combination of PFME with the WeChat application reducing urine leakage and improving urinary continence. In conclusion, Pelvic Floor Muscle Exercise (PFME) is a therapy that is effective for urinary incontinence and men's quality of life after radical prostatectomy (RP). Keywords: Urinary Incontinence, Pelvic Floor Muscle Exercise, Radical Prostatectomy

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Pelvic Floor Muscle Training in Radical Prostatectomy and Recent Understanding of the Male Continence Mechanism: A Review

Cited by 6 publications

References 40 publications

Post-Prostatectomy Incontinence and Nursing Care: An Integrative Review

Post-Prostatectomy Incontinence and Nursing Care: An Integrative Review

Understanding long-term continence rates after robot-assisted laparoscopic prostatectomy – one-year follow-up on “Cognitive ability as a non-modifiable risk factor for post-prostatectomy urinary incontinence”

Pelvic Floor Muscle Exercise pada Pasien Post Radikal Prostatektomi dalam Menurunkan Inkontinensia Urine dan Kualitas Hidup

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