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Is pilates as effective as conventional pelvic floor muscle exercises in the conservative treatment of post‐prostatectomy urinary incontinence? A randomised controlled trial
Author(s) -
Pedriali Fabiana Rotondo,
Gomes Cíntia Spagnolo,
Soares Larissa,
Urbano Mariana Ragassi,
Moreira Eliane Cristina Hilberath,
Averbeck Márcio Augusto,
de Almeida Silvio Henrique Maiade
Publication year - 2016
Publication title -
neurourology and urodynamics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.918
H-Index - 90
eISSN - 1520-6777
pISSN - 0733-2467
DOI - 10.1002/nau.22761
Subject(s) - medicine , pelvic floor muscle , urinary incontinence , statistical significance , randomized controlled trial , urology , prostatectomy , pelvic floor , urinary continence , physical therapy , surgery , prostate , cancer
Aims To verify the efficacy of a Pilates exercise program compared to conventional pelvic floor muscle exercise (PFME) protocol in the conservative treatment of post‐prostatectomy urinary incontinence (PPUI). Methods Baseline assessment was performed four weeks postoperatively and included 24 hr pad test, bladder diary, and the ICIQ‐SF. Patients were randomised into three groups: Pilates (G1), PFME combined with anal electrical stimulation (G2), and a control group (G3). Both treatment groups had to perform 10 weekly treatment sessions. Primary outcomes were mean reduction of daily pads and mean reduction of ICIQ‐SF score four months after surgery. The significance level was set at P < 0.05. Results 85 patients completed the study. Differences between treatment groups (G1 and G2) in terms of mean reduction in daily pad usage, 24 hr pad test, and ICIQ‐SF scores were not statistically significant ( P > 0.05). The control group differed from G1 in daily pad usage ( P = 0.01) and ICIQ‐SF score ( P = 0.0073). Intergroup comparisons revealed that 57.7% of the volunteers in G1 and 50% of the individuals from G2 no longer used pads by the end of the treatment period ( P = 0.57). In the control group, 22.6% were not using pads four months after surgery, with statistical difference compared to G1 ( P < 0.05). Conclusions The Pilates exercise program proved to be as effective as conventional PFME to speed up continence recovery in PPUI. It also achieved a higher rate of fully continent patients when compared to the control group in the short‐term. Neurourol. Urodynam. 35:615–621, 2016 . © 2015 Wiley Periodicals, Inc.