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Long-term effect of early postoperative pelvic floor biofeedback on continence in men undergoing radical prostatectomy: a prospective, randomized, controlled trial.
J Urol. 2010 Sep; 184(3):1034-9.JU

Abstract

PURPOSE

The impact of pelvic floor muscle training on the recovery of urinary continence after radical prostatectomy is still controversial. We tested the effectiveness of biofeedback-pelvic floor muscle training in improving urinary incontinence in the 12 months following radical prostatectomy.

MATERIALS AND METHODS

A total of 73 patients who underwent radical prostatectomy were randomized to a treatment group (36) receiving biofeedback-pelvic floor muscle training once a week for 3 months as well as home exercises or a control group (37). Patients were evaluated 1, 3, 6 and 12 months postoperatively. Continence was defined as the use of 1 pad or less daily and incontinence severity was measured by the 24-hour pad test. Incontinence symptoms and quality of life were assessed with the International Continence Society male Short Form questionnaire and the Incontinence Impact Questionnaire. Pelvic floor muscle strength was evaluated with the Oxford score.

RESULTS

A total of 54 patients (26 pelvic floor muscle training and 28 controls) completed the trial. Duration of incontinence was shorter in the treatment group. At postoperative month 12, 25 (96.15%) patients in the treatment group and 21 (75.0%) in the control group were continent (p = 0.028). The absolute risk reduction was 21.2% (95% CI 3.45-38.81) and the relative risk of recovering continence was 1.28 (95% CI 1.02-1.69). The number needed to treat was 5 (95% CI 2.6-28.6). Overall there were significant changes in both groups in terms of incontinence symptoms, lower urinary tract symptoms, quality of life and pelvic floor muscle strength (p <0.0001).

CONCLUSIONS

Early biofeedback-pelvic floor muscle training not only hastens the recovery of urinary continence after radical prostatectomy but allows for significant improvements in the severity of incontinence, voiding symptoms and pelvic floor muscle strength 12 months postoperatively.

Authors+Show Affiliations

Division of Urology, University of São Paulo School of Medicine, São Paulo, Brazil.No affiliation info availableNo 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
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

20643454

Citation

Ribeiro, Lúcia Helena S., et al. "Long-term Effect of Early Postoperative Pelvic Floor Biofeedback On Continence in Men Undergoing Radical Prostatectomy: a Prospective, Randomized, Controlled Trial." The Journal of Urology, vol. 184, no. 3, 2010, pp. 1034-9.
Ribeiro LH, Prota C, Gomes CM, et al. Long-term effect of early postoperative pelvic floor biofeedback on continence in men undergoing radical prostatectomy: a prospective, randomized, controlled trial. J Urol. 2010;184(3):1034-9.
Ribeiro, L. H., Prota, C., Gomes, C. M., de Bessa, J., Boldarine, M. P., Dall'Oglio, M. F., Bruschini, H., & Srougi, M. (2010). Long-term effect of early postoperative pelvic floor biofeedback on continence in men undergoing radical prostatectomy: a prospective, randomized, controlled trial. The Journal of Urology, 184(3), 1034-9. https://doi.org/10.1016/j.juro.2010.05.040
Ribeiro LH, et al. Long-term Effect of Early Postoperative Pelvic Floor Biofeedback On Continence in Men Undergoing Radical Prostatectomy: a Prospective, Randomized, Controlled Trial. J Urol. 2010;184(3):1034-9. PubMed PMID: 20643454.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Long-term effect of early postoperative pelvic floor biofeedback on continence in men undergoing radical prostatectomy: a prospective, randomized, controlled trial. AU - Ribeiro,Lúcia Helena S, AU - Prota,Cristina, AU - Gomes,Cristiano M, AU - de Bessa,José,Jr AU - Boldarine,Milena Peres, AU - Dall'Oglio,Marcos F, AU - Bruschini,Homero, AU - Srougi,Miguel, PY - 2010/01/07/received PY - 2010/7/21/entrez PY - 2010/7/21/pubmed PY - 2010/9/14/medline SP - 1034 EP - 9 JF - The Journal of urology JO - J Urol VL - 184 IS - 3 N2 - PURPOSE: The impact of pelvic floor muscle training on the recovery of urinary continence after radical prostatectomy is still controversial. We tested the effectiveness of biofeedback-pelvic floor muscle training in improving urinary incontinence in the 12 months following radical prostatectomy. MATERIALS AND METHODS: A total of 73 patients who underwent radical prostatectomy were randomized to a treatment group (36) receiving biofeedback-pelvic floor muscle training once a week for 3 months as well as home exercises or a control group (37). Patients were evaluated 1, 3, 6 and 12 months postoperatively. Continence was defined as the use of 1 pad or less daily and incontinence severity was measured by the 24-hour pad test. Incontinence symptoms and quality of life were assessed with the International Continence Society male Short Form questionnaire and the Incontinence Impact Questionnaire. Pelvic floor muscle strength was evaluated with the Oxford score. RESULTS: A total of 54 patients (26 pelvic floor muscle training and 28 controls) completed the trial. Duration of incontinence was shorter in the treatment group. At postoperative month 12, 25 (96.15%) patients in the treatment group and 21 (75.0%) in the control group were continent (p = 0.028). The absolute risk reduction was 21.2% (95% CI 3.45-38.81) and the relative risk of recovering continence was 1.28 (95% CI 1.02-1.69). The number needed to treat was 5 (95% CI 2.6-28.6). Overall there were significant changes in both groups in terms of incontinence symptoms, lower urinary tract symptoms, quality of life and pelvic floor muscle strength (p <0.0001). CONCLUSIONS: Early biofeedback-pelvic floor muscle training not only hastens the recovery of urinary continence after radical prostatectomy but allows for significant improvements in the severity of incontinence, voiding symptoms and pelvic floor muscle strength 12 months postoperatively. SN - 1527-3792 UR - https://www.unboundmedicine.com/medline/citation/20643454/Long_term_effect_of_early_postoperative_pelvic_floor_biofeedback_on_continence_in_men_undergoing_radical_prostatectomy:_a_prospective_randomized_controlled_trial_ L2 - https://www.jurology.com/doi/10.1016/j.juro.2010.05.040?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -