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Early 3‐month treatment with comprehensive physical therapy program restores continence in urinary incontinence patients after radical prostatectomy: A randomized controlled trial
Author(s) -
Soto González Mercedes,
Da Cuña Carrera Iria,
Gutiérrez Nieto Manuel,
López García Sabela,
Ojea Calvo Antonio,
Lantarón Caeiro Eva M
Publication year - 2020
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.24389
Subject(s) - medicine , urinary incontinence , biofeedback , urinary continence , randomized controlled trial , physical therapy , prostatectomy , urination , quality of life (healthcare) , electrotherapy , pelvic floor , urology , urinary system , prostate cancer , surgery , nursing , cancer , alternative medicine , pathology
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.