Clinical Usefulness of Pelvic Floor Reeducation for Men Undergoing Radical Prostatectomy

Pannek, Jürgen; König, J

doi:10.1159/000082707

Cited by 12 publications

(21 citation statements)

References 31 publications

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“…A positive trend concerning the timing of the training can also be observed. Pelvic floor/sphincter training seems to be more effective the earlier it is initiated [38]. Even training sessions prior to surgery are possible and have shown positive effects [36,37,41,45].…”

Section: Resultsmentioning

confidence: 98%

“…Primarily, physiological and psychological parameters were assessed (see "Methods" Section). While the studies that observed patients during irradiation or ADT chose an aerobic endurance and/or resistance training program [27][28][29][30][31][32][33], the remaining 14 studies examined the effects of a pelvic floor and sphincter training in inpatients pre-and/or post-op [34][35][36][37][38][39][40][41][42][43][44][45][46][47].…”

Section: Resultsmentioning

confidence: 99%

“…The interventions of these 13 studies were classified as "non-supervised clinical exercise." In one study, the exercise intervention of the training group was completely supervised and the intervention therefore defined as "supervised clinical exercise" [38]. The evaluated evidence levels of the studies which were performed during medical treatment of prostate cancer are shown in Table 2.…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Clinical exercise interventions in prostate cancer patients—a systematic review of randomized controlled trials

Baumann

Zopf

Bloch

2011

Support Care Cancer

189

156

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Current data suggest that incontinence, fitness, fatigue, body constitution, and also quality of life can be improved by clinical exercise in patients during and after prostate cancer. Studies were mostly ranked evidence level "2b." Only four studies, all conducted during medical treatment, reached the level "1b." It seems to be that "supervised exercise" is more effective than "non-supervised exercise." For future research, further randomized controlled trials with high methodological quality need to be conducted in order to establish evidence-based recommendations particularly for prostate cancer patients.

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Section: Resultsmentioning

confidence: 98%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Clinical exercise interventions in prostate cancer patients—a systematic review of randomized controlled trials

Baumann

Zopf

Bloch

2011

Support Care Cancer

189

156

View full text Add to dashboard Cite

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“…Pannek and König [40] retrospectively evaluated the clinical usefulness of early (7 days after surgery) as compared with later-onset pelvic fl oor re-education (4 weeks after surgery) in 132 consecutive patients 1 year after the operation. They found no statistically signifi cant difference of pelvic fl oor re-education on continence status, time to continence, frequency or volume of urine loss, or the use of pads, noting, however, a trend for patients undergoing early pelvic fl oor re-education towards sooner continence control, higher continence rate and decreased pad use.…”

Section: Rehabilitation Therapy and Post-prostatectomy Urinary Incontmentioning

confidence: 99%

Rehabilitation Therapy and Urinary Incontinence after Radical Retropubic Prostatectomy

2006

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Introduction: To assess the efficacy and evidence-based data in the literature about rehabilitation therapy in patients with post-prostatectomy urinary incontinence. Materials and Methods: An analysis of published full-length papers identified by a Medline search from 1990 through 2004 was carried out. Abstracts published in peer-reviewed journals in the same period of time were also considered. Results: Efficacy, tolerability and safety of rehabilitation therapy were evaluated, according to the available data in the literature, with special regard to randomized controlled trials in order to define a clear-cut, evidence-based efficacy of this form of therapy. Conclusions: Rehabilitation therapy is a simple and safe way of managing post-prostatectomy urinary incontinence. Nonetheless, few randomized controlled studies have been carried out so far to establish its evidence-based efficacy and it is thus not possible to be scientifically sure of its value. It is therefore necessary to undertake well-designed randomized controlled studies, with a large number of patients, a well-matched control group and an adequate follow-up.

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“…anticholinergics) and physiotherapeutic approaches (e.g. pelvic floor muscle training, electrical stimulation, biofeedback, lifestyle adjustment) are used to improve postoperative continence, partly with excellent results [4][5][6] . In times of increasing financial distress in general healthcare systems, a cost-effective and time-saving tool to exactly evaluate incontinence as well as the therapeutic success of different approaches is truly needed.…”

Section: Introductionmentioning

confidence: 99%

Comparison of a 20-Min Pad Test with the 1-Hour Pad Test of the International Continence Society to Evaluate Post-Prostatectomy Incontinence

et al. 2009

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Objectives: Urinary incontinence is a hygienic and socially distressing problem for affected people and causes high healthcare costs. Objective standardized noninvasive quantification of urinary incontinence is highly important and, in addition, enables control of therapeutic efficacy. The aim of this prospective study was to evaluate the feasibility, accuracy and reproducibility of a standardized 20-min pad test to measure urinary incontinence after radical prostatectomy in comparison to the 1-hour pad-weighing test recommended by the International Continence Society (ICS). Methods: We applied a standardized questionnaire, the ICS 1-hour pad test and a simplified 20-min pad test to evaluate subjective and objective post-prostatectomy urinary incontinence in 56 men. Results: The technical feasibility of the 20-min pad test was excellent; the results correlated significantly with both the self-assessment via questionnaire (r = 0.63; p < 0.001) and the 1-hour pad test (ICS; r = 0.66; p < 0.001). Moreover, it was highly reliable (r = 0.74; p < 0.0005) with excellent patient acceptance. Conclusions: The 20-min pad test qualified as a reliable, cost-effective and noninvasive tool which can easily be applied in urologic or physiotherapeutic practice to assess post-prostatectomy urinary incontinence and to evaluate the success of therapeutic approaches.

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Clinical Usefulness of Pelvic Floor Reeducation for Men Undergoing Radical Prostatectomy

Cited by 12 publications

References 31 publications

Clinical exercise interventions in prostate cancer patients—a systematic review of randomized controlled trials

Clinical exercise interventions in prostate cancer patients—a systematic review of randomized controlled trials

Rehabilitation Therapy and Urinary Incontinence after Radical Retropubic Prostatectomy

Comparison of a 20-Min Pad Test with the 1-Hour Pad Test of the International Continence Society to Evaluate Post-Prostatectomy Incontinence

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