Early 3-month treatment with comprehensive physical therapy program restores continence in urinary incontinence patients after radical prostatectomy: A randomized controlled trial
| Autor: | Mercedes Soto González, Sabela López García, Eva María Lantarón Caeiro, Antonio Ojea Calvo, Iria da Cuña Carrera, Manuel Gutiérrez Nieto |
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| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Urology Urinary system medicine.medical_treatment media_common.quotation_subject 030232 urology & nephrology Urinary incontinence Electric Stimulation Therapy Biofeedback Urination law.invention 03 medical and health sciences Prostate cancer 0302 clinical medicine Randomized controlled trial law Surveys and Questionnaires Medicine Humans Physical Therapy Modalities media_common Aged Prostatectomy 030219 obstetrics & reproductive medicine business.industry Prostatic Neoplasms Biofeedback Psychology Pelvic Floor Middle Aged medicine.disease Exercise Therapy Treatment Outcome Urinary Incontinence Electrotherapy Physical therapy Quality of Life Neurology (clinical) medicine.symptom business |
| Zdroj: | Neurourology and urodynamicsREFERENCES. 39(5) |
| ISSN: | 1520-6777 |
| Popis: | Aims The objective of this study is to ascertain whether an early three-month treatment with electrotherapy and biofeedback restores continence in urinary incontinence patients after radical prostatectomy (RP). Methods Design: The study performed a randomized, controlled trial of parallel and open groups. Configuration: Secondary care, urology department of a university hospital complex. Participants Patients sent for RP due to prostate cancer (n = 60), 47 patients finally completed the study. Interventions The treatment group (TG) received physiotherapy consisting of electrotherapy and biofeedback, 3 days a week for 3 months, while the control group (CG) received no specific treatment. Both groups received a guide to perform pelvic floor exercises at home. The measurement instruments used were the 1- and 24-hour pad tests and the International Consultation on Incontinence Questionnaire Short-Form. The recording method used was a micturition (urinary) diary. Results The results of the 1-hour pad test (PT) show statistically significant differences between groups at 3 months (P = .001) and 6 months (P = .001), in favor of those in the TG. Sixty-four percent of patients in the TG recovered continence as against 9.1% in the CG after 3 months in the 1-hour PT, in line with the objective of this study. Conclusions An early physiotherapy program helps RP patients with urinary incontinence recover continence after 3 months. Moreover, they lead a better quality life. |
| Databáze: | OpenAIRE |
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