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Effectiveness of early pelvic floor rehabilitation treatment for post-prostatectomy incontinence.
Eur Urol. 2005 Nov; 48(5):734-8.EU

Abstract

PURPOSE

Urinary incontinence after radical prostatectomy is a significant clinical problem. In this prospective study we investigate the effectiveness of early pelvic floor muscle training (PFMT) on a large population, that had undergone radical retropubic prostatectomy (RRP) at our department.

METHODS

300 consecutive patients who had undergone RRP for clinically confined prostate cancer were randomized in two groups after catheter removal. One group of 150 patients took part in a structured PFMT program. This began before discharge and consisted of Kegel exercises. The remaining 150 patients constituted the control group, they were not formally instructed in PFMT. Incontinence was assessed objectively using the 1 hour and 24 hour pad test, as well as with the ICS-Male questionnaire. All patients who were incontinent after 6 months underwent urodynamic evaluation.

RESULTS

In the treated group, 19% (29 patients) achieved continence after 1 month, and 94.6% (146 patients) after 6 months. In the control group 8% (12 patients) achieved continence after 1 month, and 65% (97 patients) after 6 months (p<0.001). Patient age did not correlate with continence in the control group (p>0.05), although a significant correlation was revealed within the treated group (p<0.01). Overall, 93.3% of the total population achieved continence after one year.

CONCLUSIONS

After RRP an early supportive rehabilitation program like PFMT significantly reduces continence recovery time.

Authors+Show Affiliations

Clinica Urologica II, University of Florence, Viale Pieraccini, 18, 50139, Florence, Italy.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

16002204

Citation

Filocamo, Maria Teresa, et al. "Effectiveness of Early Pelvic Floor Rehabilitation Treatment for Post-prostatectomy Incontinence." European Urology, vol. 48, no. 5, 2005, pp. 734-8.
Filocamo MT, Li Marzi V, Del Popolo G, et al. Effectiveness of early pelvic floor rehabilitation treatment for post-prostatectomy incontinence. Eur Urol. 2005;48(5):734-8.
Filocamo, M. T., Li Marzi, V., Del Popolo, G., Cecconi, F., Marzocco, M., Tosto, A., & Nicita, G. (2005). Effectiveness of early pelvic floor rehabilitation treatment for post-prostatectomy incontinence. European Urology, 48(5), 734-8.
Filocamo MT, et al. Effectiveness of Early Pelvic Floor Rehabilitation Treatment for Post-prostatectomy Incontinence. Eur Urol. 2005;48(5):734-8. PubMed PMID: 16002204.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effectiveness of early pelvic floor rehabilitation treatment for post-prostatectomy incontinence. AU - Filocamo,Maria Teresa, AU - Li Marzi,Vincenzo, AU - Del Popolo,Giulio, AU - Cecconi,Filippo, AU - Marzocco,Michele, AU - Tosto,Aldo, AU - Nicita,Giulio, Y1 - 2005/06/22/ PY - 2005/04/29/received PY - 2005/06/07/accepted PY - 2005/7/9/pubmed PY - 2006/2/14/medline PY - 2005/7/9/entrez SP - 734 EP - 8 JF - European urology JO - Eur Urol VL - 48 IS - 5 N2 - PURPOSE: Urinary incontinence after radical prostatectomy is a significant clinical problem. In this prospective study we investigate the effectiveness of early pelvic floor muscle training (PFMT) on a large population, that had undergone radical retropubic prostatectomy (RRP) at our department. METHODS: 300 consecutive patients who had undergone RRP for clinically confined prostate cancer were randomized in two groups after catheter removal. One group of 150 patients took part in a structured PFMT program. This began before discharge and consisted of Kegel exercises. The remaining 150 patients constituted the control group, they were not formally instructed in PFMT. Incontinence was assessed objectively using the 1 hour and 24 hour pad test, as well as with the ICS-Male questionnaire. All patients who were incontinent after 6 months underwent urodynamic evaluation. RESULTS: In the treated group, 19% (29 patients) achieved continence after 1 month, and 94.6% (146 patients) after 6 months. In the control group 8% (12 patients) achieved continence after 1 month, and 65% (97 patients) after 6 months (p<0.001). Patient age did not correlate with continence in the control group (p>0.05), although a significant correlation was revealed within the treated group (p<0.01). Overall, 93.3% of the total population achieved continence after one year. CONCLUSIONS: After RRP an early supportive rehabilitation program like PFMT significantly reduces continence recovery time. SN - 0302-2838 UR - https://www.unboundmedicine.com/medline/citation/16002204/Effectiveness_of_early_pelvic_floor_rehabilitation_treatment_for_post_prostatectomy_incontinence_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0302-2838(05)00368-4 DB - PRIME DP - Unbound Medicine ER -