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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.
Neurourol Urodyn. 2007; 26(7):985-9.NU

Abstract

AIMS

In this prospective controlled randomized trial we assessed the effects of early, intensive, prolonged pelvic floor exercises (PFE) on urinary incontinence following bladder neck (BN) sparing RRP.

METHODS

A sample of 152 patients with localized prostate cancer underwent RRP with BN preservation. Out of this group we randomized 107 incontinent patients into 2 groups. We considered incontinent patients with 24 hr Pad test >2 g. The T group received instructions regarding an intensive program of PFE, from 7 days after catheter removal for as long as any degree of incontinence persisted, within a period of 1 year. The control (C) group did not receive instructions. The outcome was assessed using the 24 hr Pad test, a visual analogue scale (VAS) and a single question of QoL. Results at baseline and at 1, 3, 6, and 12 months were available for 54 and 40 patients, respectively.

RESULTS

The overall spontaneous continence rate after catheter removal was 23.6%. The proportion of men still incontinent was significantly higher in the C group than treatment (T) group at 1 (97.5% vs. 83.3%; P = 0.04), 3 (77.5% vs. 53.7%; P = 0.03), 6 (60% vs. 33.3%; P = 0.01), and 12 months (52.5% vs. 16.6%; P < 0.01). Similarly, the VAS and the response to the QoL question at 12 months significantly differed between the two groups (P = 0.01 and 0.03, respectively).

CONCLUSIONS

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.

Authors+Show Affiliations

Department of Urology, University of Pisa, Pisa, Italy. francy_manassero@hotmail.comNo 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

17487874

Citation

Manassero, Francesca, et al. "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." Neurourology and Urodynamics, vol. 26, no. 7, 2007, pp. 985-9.
Manassero F, Traversi C, Ales V, et al. 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. Neurourol Urodyn. 2007;26(7):985-9.
Manassero, F., Traversi, C., Ales, V., Pistolesi, D., Panicucci, E., Valent, F., & Selli, C. (2007). 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. Neurourology and Urodynamics, 26(7), 985-9.
Manassero F, et al. 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. Neurourol Urodyn. 2007;26(7):985-9. PubMed PMID: 17487874.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - 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. AU - Manassero,Francesca, AU - Traversi,Cinzia, AU - Ales,Valeria, AU - Pistolesi,Donatella, AU - Panicucci,Erica, AU - Valent,Francesca, AU - Selli,Cesare, PY - 2007/5/10/pubmed PY - 2008/1/18/medline PY - 2007/5/10/entrez SP - 985 EP - 9 JF - Neurourology and urodynamics JO - Neurourol Urodyn VL - 26 IS - 7 N2 - AIMS: In this prospective controlled randomized trial we assessed the effects of early, intensive, prolonged pelvic floor exercises (PFE) on urinary incontinence following bladder neck (BN) sparing RRP. METHODS: A sample of 152 patients with localized prostate cancer underwent RRP with BN preservation. Out of this group we randomized 107 incontinent patients into 2 groups. We considered incontinent patients with 24 hr Pad test >2 g. The T group received instructions regarding an intensive program of PFE, from 7 days after catheter removal for as long as any degree of incontinence persisted, within a period of 1 year. The control (C) group did not receive instructions. The outcome was assessed using the 24 hr Pad test, a visual analogue scale (VAS) and a single question of QoL. Results at baseline and at 1, 3, 6, and 12 months were available for 54 and 40 patients, respectively. RESULTS: The overall spontaneous continence rate after catheter removal was 23.6%. The proportion of men still incontinent was significantly higher in the C group than treatment (T) group at 1 (97.5% vs. 83.3%; P = 0.04), 3 (77.5% vs. 53.7%; P = 0.03), 6 (60% vs. 33.3%; P = 0.01), and 12 months (52.5% vs. 16.6%; P < 0.01). Similarly, the VAS and the response to the QoL question at 12 months significantly differed between the two groups (P = 0.01 and 0.03, respectively). CONCLUSIONS: 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. SN - 0733-2467 UR - https://www.unboundmedicine.com/medline/citation/17487874/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_ L2 - https://doi.org/10.1002/nau.20442 DB - PRIME DP - Unbound Medicine ER -