Pelvic Floor Muscle Rehabilitation in the Management of Urinary Incontinence Post-Prostatectomy
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Abstract
BACKGROUND: The common issue of urinary incontinence following prostatectomies, which may be caused by a nerve injury during surgery, has a significant impact on patients’ quality of life. As the incidence of prostate cancer rises, this issue is likely to affect more males. This study aims to determine if Pelvic Floor Muscle (PFM) rehabilitation, a non-invasive, conservative technique, can effectively treat this common postoperative complication. Its application in clinical practice must be substantiated by empirical evidence.
OBJECTIVE: To assess the efficacy of PFMT on UI and quality of life in post-prostatectomy patients.
METHODS: This prospective cohort study included a total of 45 individuals who had undergone prostatectomies. They finished the PFMT training that was eight weeks long. Data on urinary incontinence and related quality of life was measured by Short-Form International Consultation on Incontinence. Assessments were obtained both before and after the intervention.
RESULTS: Participants demonstrated significant reduction in ICIQ-UI scores (Pre: 16.24±2.6, Post: 8.76±2.1, p<0.001), indicating improved UI. Quality of life also significantly improved (Pre: 45.2±6.9, Post: 61.7±7.2, p<0.001) post-PFMT intervention.
CONCLUSION: PFMT is effective in managing UI and improving quality of life among post-prostatectomy patients.
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References
Yang J-m, Ye H, Long Y, Zhu Q, Huang H, Xie H-y, et al. Effect of pelvic floor muscle training on urinary incontinence after radical prostatectomy: An umbrella review of meta-analysis and systematic review. Clinical Rehabilitation. 2023;37(4):494-515.
Giraudo D, Lamberti G, Ciardi G. Pelvic Floor Muscle Training for Urinary Incontinence After Radical Prostatectomy: A Narrative Review. Urologia Journal. 2023:03915603231166729.
An D, Wang J, Zhang F, Jing H, Gao Y, Cong H, et al. Effect of different postures of Pilates combined with Kegel training on pelvic floor muscle strength in post-prostatectomy incontinence. International Urology and Nephrology. 2023;55(3):519-27.
Gomes CS, Pedriali FR, Urbano MR, Moreira EH, Averbeck MA, Almeida SHM. The effects of Pilates method on pelvic floor muscle strength in patients with post‐prostatectomy urinary incontinence: A randomized clinical trial. Neurourology and urodynamics. 2018;37(1):346-53.
Terzoni S, Ferrara P, Mora C, Destrebecq A. Long‐term effect of extracorporeal magnetic innervation for post‐prostatectomy urinary incontinence: 1‐year follow‐up. International Journal of Urological Nursing. 2022;16(1):26-31.
Park JJ, Kwon A, Park JY, Shim SR, Kim JH. Efficacy of pelvic floor exercise for post-prostatectomy incontinence: systematic review and meta-analysis. Urology. 2022;168:175-82.
Aydın Sayılan A, Özbaş A. The effect of pelvic floor muscle training on incontinence problems after radical prostatectomy. American journal of men's health. 2018;12(4):1007-15.
Hudolin T, Kolar Mitrović H, Bakula M, Kuliš T, Penezić L, Zekulić T, et al. Pelvic Rehabilitation for Urinary Incontinence after Radical Prostatectomy. Acta clinica Croatica. 2022;61(Supplement 3):71-5.
Canning A, Raison N, Aydin A, Cheikh Youssef S, Khan S, Dasgupta P, et al. A systematic review of treatment options for post-prostatectomy incontinence. World Journal of Urology. 2022;40(11):2617-26.
Baumann FT, Reimer N, Gockeln T, Reike A, Hallek M, Ricci C, et al. Supervised pelvic floor muscle exercise is more effective than unsupervised pelvic floor muscle exercise at improving urinary incontinence in prostate cancer patients following radical prostatectomy–a systematic review and meta-analysis. Disability and Rehabilitation. 2022;44(19):5374-85.
Ali M, Hutchison DD, Ortiz NM, Smith RP, Rapp DE. A narrative review of pelvic floor muscle training in the management of incontinence following prostate treatment. Translational andrology and urology. 2022;11(8):1200.
Salciccia S, Sciarra A, Moriconi M, Maggi M, Viscuso P, Rosati D, et al. How to Predict Outcomes from a Biofeedback and Pelvic Floor Muscle Electric Stimulation Program in Patients with Urinary Incontinence after Radical Prostatectomy. Journal of Clinical Medicine. 2021;11(1):127.
Kim YU, Lee DG, Ko YH. Pelvic floor muscle exercise with biofeedback helps regain urinary continence after robot-assisted radical prostatectomy. Yeungnam University Journal of Medicine. 2021;38(1):39-46.
Cho ST, Kim KH. Pelvic floor muscle exercise and training for coping with urinary incontinence. Journal of exercise rehabilitation. 2021;17(6):379.
Scott KM, Gosai E, Bradley MH, Walton S, Hynan LS, Lemack G, et al. Individualized pelvic physical therapy for the treatment of post-prostatectomy stress urinary incontinence and pelvic pain. International Urology and Nephrology. 2020;52:655-9.
An D, Wang J, Zhang F, Wu J, Jing H, Gao Y, et al. Effects of biofeedback combined with pilates training on post-prostatectomy incontinence. Urology. 2021;155:152-9.
Sayner A, Nahon I, editors. Pelvic floor muscle training in radical prostatectomy and recent understanding of the male continence mechanism: a review. Seminars in Oncology Nursing; 2020: Elsevier.
Milios JE, Ackland TR, Green DJ. Pelvic floor muscle training and erectile dysfunction in radical prostatectomy: a randomized controlled trial investigating a non-invasive addition to penile rehabilitation. Sexual medicine. 2020;8(3):414-21.
Jalalinia SF, Raei M, Naseri-Salahshour V, Varaei S. The effect of pelvic floor muscle strengthening exercise on urinary incontinence and quality of life in patients after prostatectomy: a randomized clinical trial. Journal of caring sciences. 2020;9(1):33.
Hodges PW, Stafford RE, Hall L, Neumann P, Morrison S, Frawley H, et al., editors. Reconsideration of pelvic floor muscle training to prevent and treat incontinence after radical prostatectomy. Urologic Oncology: Seminars and Original Investigations; 2020: Elsevier.
Fikry Mohamed Abd Elrasol Z, Ezzat Eltohamy Mohamed O, Gouda Mohamed Elshiekh O. Effect of Pelvic Floor Muscle Strengthening Exercises on Urinary Incontinence and Quality of Life among Patients after Prostatectomy. Egyptian Journal of Health Care. 2020;11(4):1050-61.
Feng D, Liu S, Li D, Han P, Wei W. Analysis of conventional versus advanced pelvic floor muscle training in the management of urinary incontinence after radical prostatectomy: a systematic review and meta-analysis of randomized controlled trials. Translational Andrology and Urology. 2020;9(5):2031.
Yoshida M, Matsunaga A, Igawa Y, Fujimura T, Shinoda Y, Aizawa N, et al. May perioperative ultrasound‐guided pelvic floor muscle training promote early recovery of urinary continence after robot‐assisted radical prostatectomy? Neurourology and Urodynamics. 2019;38(1):158-64.
Tantawy SA, Elgohary HM, Abdelbasset WK, Kamel DM. Effect of 4 weeks of whole-body vibration training in treating stress urinary incontinence after prostate cancer surgery: a randomised controlled trial. Physiotherapy. 2019;105(3):338-45.
Milios JE, Ackland TR, Green DJ. Pelvic floor muscle training in radical prostatectomy: a randomized controlled trial of the impacts on pelvic floor muscle function and urinary incontinence. BMC urology. 2019;19(1):1-10.
Lira GHSd, Fornari A, Cardoso LF, Aranchipe M, Kretiska C, Rhoden EL. Effects of perioperative pelvic floor muscle training on early recovery of urinary continence and erectile function in men undergoing radical prostatectomy: a randomized clinical trial. International braz j urol. 2019;45:1196-203.
Slade SC, Hay‐Smith J, Mastwyk S, Morris ME, Frawley H. Strategies to assist uptake of pelvic floor muscle training for people with urinary incontinence: a clinician viewpoint. Neurourology and Urodynamics. 2018;37(8):2658-68.
Laurienzo CE, Magnabosco WJ, Jabur F, Faria EF, Gameiro MO, Sarri AJ, et al. Pelvic floor muscle training and electrical stimulation as rehabilitation after radical prostatectomy: a randomized controlled trial. Journal of Physical Therapy Science. 2018;30(6):825-31.
Kannan P, Winser SJ, Fung B, Cheing G. Effectiveness of pelvic floor muscle training alone and in combination with biofeedback, electrical stimulation, or both compared to control for urinary incontinence in men following prostatectomy: systematic review and meta-analysis. Physical therapy. 2018;98(11):932-45.
Goonewardene S, Gillatt D, Persad R. A systematic review of PFE pre-prostatectomy. Journal of Robotic Surgery. 2018;12:397-400.