| 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. | |
| | |
MedLine Citation:
|
PMID: 17487874 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
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:
|
Francesca Manassero; Cinzia Traversi; Valeria Ales; Donatella Pistolesi; Erica Panicucci; Francesca Valent; Cesare Selli |
Related Documents
:
|
16002204 - Effectiveness of early pelvic floor rehabilitation treatment for post-prostatectomy inc... 9653694 - Fascia lata suburethral sling vs. burch retropubic urethropexy. a comparison of morbidity. 2925354 - Results and relevance of urodynamic studies in the management of urinary incontinence i... 18422764 - Long-term efficacy of duloxetine in women with stress urinary incontinence. 18203764 - Level of radiographic damage and radiographic progression are determinants of physical ... 21490024 - Oral oxycodone offers equivalent analgesia to intravenous patient-controlled analgesia ... |
Publication Detail:
|
Type: Journal Article; Randomized Controlled Trial |
Journal Detail:
|
Title: Neurourology and urodynamics Volume: 26 ISSN: 0733-2467 ISO Abbreviation: Neurourol. Urodyn. Publication Date: 2007 |
Date Detail:
|
Created Date: 2007-10-29 Completed Date: 2008-01-17 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8303326 Medline TA: Neurourol Urodyn Country: United States |
Other Details:
|
Languages: eng Pagination: 985-9 Citation Subset: IM |
Copyright Information:
|
(c) 2007 Wiley-Liss, Inc. |
Affiliation:
|
Department of Urology, University of Pisa, Pisa, Italy. francy_manassero@hotmail.com |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged Exercise / physiology* Humans Kaplan-Meiers Estimate Male Middle Aged Pain Measurement Pelvic Floor / physiopathology* Physical Therapy Modalities Prospective Studies Prostatectomy / adverse effects*, methods Prostatic Neoplasms / surgery* Treatment Outcome Urinary Bladder / surgery* Urinary Incontinence / etiology*, physiopathology, therapy* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Novel biomarkers of bladder decompensation after partial bladder obstruction.
Next Document: Interspecific and temporal variation of ant species within Acacia drepanolobium ant domatia, a stapl...