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Randomized, placebo controlled study of electrical stimulation with pelvic floor muscle training for severe urinary incontinence after radical prostatectomy.
J Urol. 2010 Nov; 184(5):2007-12.JU

Abstract

PURPOSE

We evaluated electrical stimulation combined with pelvic floor muscle training for urinary incontinence after radical prostatectomy in a randomized controlled study.

MATERIALS AND METHODS

A total of 56 men with severe urinary incontinence (more than 200 gm daily), mean ± SD age 66.6 ± 6.2 years, were randomized to an active treatment group (26) or a sham group (30). All patients performed pelvic floor muscle training preoperatively and continued throughout the study. For active stimulation 50 Hz square waves of 300 μs pulse duration and a 5 seconds on, 5 seconds off duty cycle were applied for 15 minutes twice daily with an anal electrode. Sham stimulation was limited to 3 mA with a 2 seconds on, 13 seconds off duty cycle.

RESULTS

In the active group 8 (36%), 14 (63%), 18 (81%) and 19 (86%) patients were continent (22) vs 1 (4%), 4 (16%), 11 (44%) and 17 (86%) in the sham group (25) (leakage less than 8 gm daily) after 1, 3, 6 and 12 months, respectively. There was a significant difference in the number of continent patients between the groups at 1, 3 and 6 months (p = 0.0161, p = 0.0021 and p = 0.0156, respectively). The time to achieve continence was significantly shorter in the active group (2.71 ± 2.6 months) than in the sham group (6.82 ± 3.9 months, p = 0.0006). Changes in the amount of leakage, the International Consultation on Incontinence Questionnaire-Short Form score and the King's Health Questionnaire score were significantly larger in the active group at 1 month but there was no difference at 12 months.

CONCLUSIONS

Electrical stimulation resulted in earlier recovery of continence in patients with urinary incontinence after radical prostatectomy.

Authors+Show Affiliations

Department of Urology, Dokkyo Medical University, Mibu, Tochigi, Japan. yamanish@dokkyomed.ac.jpNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

20850831

Citation

Yamanishi, Tomonori, et al. "Randomized, Placebo Controlled Study of Electrical Stimulation With Pelvic Floor Muscle Training for Severe Urinary Incontinence After Radical Prostatectomy." The Journal of Urology, vol. 184, no. 5, 2010, pp. 2007-12.
Yamanishi T, Mizuno T, Watanabe M, et al. Randomized, placebo controlled study of electrical stimulation with pelvic floor muscle training for severe urinary incontinence after radical prostatectomy. J Urol. 2010;184(5):2007-12.
Yamanishi, T., Mizuno, T., Watanabe, M., Honda, M., & Yoshida, K. (2010). Randomized, placebo controlled study of electrical stimulation with pelvic floor muscle training for severe urinary incontinence after radical prostatectomy. The Journal of Urology, 184(5), 2007-12. https://doi.org/10.1016/j.juro.2010.06.103
Yamanishi T, et al. Randomized, Placebo Controlled Study of Electrical Stimulation With Pelvic Floor Muscle Training for Severe Urinary Incontinence After Radical Prostatectomy. J Urol. 2010;184(5):2007-12. PubMed PMID: 20850831.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Randomized, placebo controlled study of electrical stimulation with pelvic floor muscle training for severe urinary incontinence after radical prostatectomy. AU - Yamanishi,Tomonori, AU - Mizuno,Tomoya, AU - Watanabe,Miho, AU - Honda,Mikihiko, AU - Yoshida,Ken-Ichiro, Y1 - 2010/09/20/ PY - 2010/02/23/received PY - 2010/9/21/entrez PY - 2010/9/21/pubmed PY - 2010/11/3/medline SP - 2007 EP - 12 JF - The Journal of urology JO - J Urol VL - 184 IS - 5 N2 - PURPOSE: We evaluated electrical stimulation combined with pelvic floor muscle training for urinary incontinence after radical prostatectomy in a randomized controlled study. MATERIALS AND METHODS: A total of 56 men with severe urinary incontinence (more than 200 gm daily), mean ± SD age 66.6 ± 6.2 years, were randomized to an active treatment group (26) or a sham group (30). All patients performed pelvic floor muscle training preoperatively and continued throughout the study. For active stimulation 50 Hz square waves of 300 μs pulse duration and a 5 seconds on, 5 seconds off duty cycle were applied for 15 minutes twice daily with an anal electrode. Sham stimulation was limited to 3 mA with a 2 seconds on, 13 seconds off duty cycle. RESULTS: In the active group 8 (36%), 14 (63%), 18 (81%) and 19 (86%) patients were continent (22) vs 1 (4%), 4 (16%), 11 (44%) and 17 (86%) in the sham group (25) (leakage less than 8 gm daily) after 1, 3, 6 and 12 months, respectively. There was a significant difference in the number of continent patients between the groups at 1, 3 and 6 months (p = 0.0161, p = 0.0021 and p = 0.0156, respectively). The time to achieve continence was significantly shorter in the active group (2.71 ± 2.6 months) than in the sham group (6.82 ± 3.9 months, p = 0.0006). Changes in the amount of leakage, the International Consultation on Incontinence Questionnaire-Short Form score and the King's Health Questionnaire score were significantly larger in the active group at 1 month but there was no difference at 12 months. CONCLUSIONS: Electrical stimulation resulted in earlier recovery of continence in patients with urinary incontinence after radical prostatectomy. SN - 1527-3792 UR - https://www.unboundmedicine.com/medline/citation/20850831/Randomized_placebo_controlled_study_of_electrical_stimulation_with_pelvic_floor_muscle_training_for_severe_urinary_incontinence_after_radical_prostatectomy_ L2 - https://www.jurology.com/doi/10.1016/j.juro.2010.06.103?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -