Document Detail


Incontinence--an aggressive approach to treatment: a case series.
MedLine Citation:
PMID:  16602175     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Recent evidence suggests that, for some, leaking urine may be a barrier to physical activity. Although important from a lifestyle point of view, bladder problems and incontinence also affect both men and women socially, psychologically and economically. For example, it can be particularly distressing when incontinence occurs post-prostate surgery, especially if these patients were continent before surgery. This case series outlines an aggressive, innovative, exercise-based approach to the management of stress incontinence post-prostatectomy. The program attempts to enhance neuromuscular and vascular systems associated with continence, with emphasis placed on the abdominal and pelvic floor muscles. The program was undertaken by 14 incontinent post-prostatectomy patients (mean age 63.5 y, using a mean of 3.5 sanitary pads per day). The program was initiated a mean of two months post-op and had a mean duration of six months. Upon completion of the program. 10 patients were found to be completely dry with three retaining a small leakage (a few drops). The 14th could not comply with the program because of illness. The results of this study appear promising in this patient population. There are indications for further research.
Authors:
P R Dornan
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of science and medicine in sport / Sports Medicine Australia     Volume:  8     ISSN:  1440-2440     ISO Abbreviation:  J Sci Med Sport     Publication Date:  2005 Dec 
Date Detail:
Created Date:  2006-04-07     Completed Date:  2006-05-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9812598     Medline TA:  J Sci Med Sport     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  458-62     Citation Subset:  IM    
Affiliation:
Toowong Rehabilitation Centre, Toowong, Brisbance, Queensland. prdornan@bigpond.com.au
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MeSH Terms
Descriptor/Qualifier:
Aged
Exercise Therapy / methods*
Humans
Male
Middle Aged
Muscle Contraction / physiology
Muscle, Skeletal / physiology
Pelvic Floor / physiology
Prostatectomy / adverse effects
Reflex / physiology
Treatment Outcome
Urinary Incontinence, Stress / etiology,  physiopathology,  therapy*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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