Abstract
A commonly used physiotherapeutic method for the treatment of urinary incontinence (UI) after radical prostatectomy (RP) is pelvic floor muscle training (PFMT). The aim of this study was to evaluate the effectiveness of PFMT by enhanced biofeedback using the 1h pad-weighing test. The following factors were taken into consideration in the analysis of PFMT effectiveness: the relevance of the patients’ age, time from RP, BMI, mental health, functional state, and depression. A total of 60 post-RP patients who underwent 10-week PFMT were studied. They were divided into groups: A (n = 20) and B (n = 20) (random division, time from RP: 2–6 weeks) and group C (time from RP > 6 weeks). Group B had enhanced training using EMG biofeedback. UI improved in all groups: A, p = 0.0000; B, p = 0.0000; and C, p = 0.0001. After the completion of PFMT, complete control over miction was achieved by 60% of the patients in group A, 85% in group B, and 45% in group C. There was no correlation between the results of PFMT efficacy and patients’ age, BMI, time from RP, mental health, functional state, and depression. PFMT is highly effective in UI treatment. The enhancement of PFMT by EMG biofeedback seems to increase the effectiveness of the therapy.
Highlights
Accepted: 18 February 2022Prostate cancer (PCa) is the second most common cancer type in men after lung cancer.It ranks fifth globally among the causes of death
The inclusion criteria were: Radical prostatectomy (RP) surgery performed with the radical retropubic prostatectomy method; time from RP: minimum 2 weeks; diagnosis of urinary incontinence (UI) by a urologist specialist; patient consent to participate in the pelvic floor muscle training (PFMT) program; and positive results on the following scales: The Abbreviated Mental Test Score (AMTS) [31], Index of Activities for Daily Living (IADL) [32], and Geriatric Depression Scale (GDS) [33]
The intergroup comparisons showed no differences in pad-weighing tests (PAT) 1 and PAT 2, but there were differences in PAT 2–PAT 1
Summary
Prostate cancer (PCa) is the second most common cancer type in men after lung cancer. It ranks fifth globally among the causes of death. GLOBOCAN estimates from 2020 speak of over 1,400,000 new cases globally [1]. PCa is the fifth leading cause of death, posing a global public health challenge [2]. Radical prostatectomy (RP) is a recognized and effective method of treatment for PCa [3,4]. It is especially effective at an early stage of clinical advancement. Research shows that the ten-year survival rate for patients after RP is 92% [5]
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callMore From: International journal of environmental research and public health
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
