Is a behavioral treatment for urinary incontinence beneficial to prostate cancer survivors as a follow-up care?

Zhang, Amy Y.; Fu, Alex Z.; Moore, Shirley; Zhu, Hui; Strauss, Gerald; Kresevic, Denise; Klein, Eric A.; Ponsky, Lee; Bodner, Donald R.

doi:10.1007/s11764-016-0557-0

Cited by 12 publications

(15 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although these data support the efficacy of our rehabilitation program, it is necessary to evaluate the long‐term effects, because continuing exercises is necessary after rehabilitation to maintain continence, as confirmed by the literature 13,18 …”

Section: Rationalesupporting

confidence: 54%

“…17 Although these data support the efficacy of our rehabilitation program, it is necessary to evaluate the long-term effects, because continuing exercises is necessary after rehabilitation to maintain continence, as confirmed by the literature. 13,18 T A B L E 1 PFMT rehabilitation program Morning (Figure 1b) Slightly more difficult than exercise 1, due to the action of gravity. When the exercise is performed correctly, the patient should find it more difficult with his legs spread (the position with legs closed ensures additional sustain to the pelvic organs, with better contrast to gravity).…”

Section: Rationalementioning

confidence: 99%

See 1 more Smart Citation

Maintenance exercises for urinary continence after rehabilitation following radical prostatectomy: Follow‐up study

Terzoni

Ferrara

Bellati

et al. 2021

Int J of Uro Nursing

View full text Add to dashboard Cite

In a previous paper, we presented a complete pelvic floor muscle training (PFMT) program; follow-up data and maintenance exercises for such program have yet to be studied. The role of PFMT for urinary incontinence after radical prostatectomy is known in literature; the rehabilitation program should be tailored to the patient's needs, and should include maintenance exercises upon completion of the rehabilitation program. The aim of this study is to investigate the effects of a maintenance programme of PFMT on urinary incontinence. After rehabilitation with PFMT, described in previous papers, patients with urinary leakages after radical retropubic prostatectomy followed the maintenance program described in this paper in a prospective study. Leakages were assessed after 3, 6, 12 and 18 months from rehabilitation. Two hundred and seventy-three patients were included; 216 (79.1%) achieved continence at the end of the rehabilitation programme described in the previous paper; the 57 who remained incontinent were significantly older (66 vs. 71 years, p < 0.001). Continence was maintained in 78.7%, 77.3%, 76.9% and 74.4% of the patients surveyed at 3, 6, 12 and 18 months respectively. The maintenance program proposed in this paper illustrates in detail the body positions, the number of contractions and the moments of the day in which the exercises should be performed.The long-term effects data support the efficacy of this program. Highlights 1. Pelvic floor muscle training is an effective method for treating urinary incontinence after radical prostatectomy.2. In a previous paper, we have shown the efficacy of a complete series of exercises.3. This paper presents the maintenance programme dedicated at supporting continence in the long run, up to 18 months.

show abstract

Section: Rationalesupporting

confidence: 54%

Section: Rationalementioning

confidence: 99%

Maintenance exercises for urinary continence after rehabilitation following radical prostatectomy: Follow‐up study

Terzoni

Ferrara

Bellati

et al. 2021

Int J of Uro Nursing

View full text Add to dashboard Cite

show abstract

“…In the Zhang and etc. (2017) study it was seen that an early diagnosis of urinary incontinence or minor incontinence together with an education in pelvic exercises had a positive effect on the patients [31].…”

Section: Discussion Of Features Of the Patients And Caregivers' Socia...mentioning

confidence: 97%

Defining of the Supportive Care Needs of Using Hormone Therapy Patients Have Prostate Cancer and Caregivers

Tanış

Uğur

2022

Preprint

View full text Add to dashboard Cite

Introduction This study is important in producing effective results in the symptoms of problems faced by prostate cancer patients using hormone therapy and their caregivers. This study defines the support care service needs of those undergoing hormone therapy for prostate cancer and their caregivers. Methods This is a cross-sectional definitive study. The results of the study were compiled during face-to-face interviews between the dates of February and June 2022. The study involved the participation of 66 prostate cancer patients and 66 caregivers. Later, two of the caregivers declined participation and the study continued with 64 caregivers. Results The participating patients were defined as 50% over the age of 60. The caregivers were defined as 79.9% being female and 43.8 % being patients’ wives. 36% of the patients had 80-90% performance rates on the Kamofsky scale. The patients had a 9.32% need for sexual support before and after the diagnosis and for those with water retention 46.27% needed supportive care. Of the caregivers, 40.88% needed family support, and 21.25% needed social services support. Conclusions It has been determined that the difficulties experienced by prostate cancer patients receiving hormone therapy and their caregivers have increased their supportive care needs.

show abstract

“…Given EMG assessment is invasive in a group setting, it may have been useful to use it in the one-to-one session with the CNS to assess the effectiveness of the individuals’ exercises. Studies of PFME in men with PCa have focused mainly on the surgical setting and have shown that pelvic floor muscle exercises pre- and post-treatment can improve symptom outcomes [ 41 ] and this evidence is reflected in NICE UK [ 42 ] prostate cancer guidelines. Studies show that men who continue to have LUTS after radiotherapy have significant reductions in quality-of-life [ 43 ].…”

Section: Discussionmentioning

confidence: 99%

Randomised controlled trial to investigate the effectiveness of the symptom management after radiotherapy (SMaRT) group intervention to ameliorate lower urinary tract symptoms in men treated for prostate cancer

Faithfull

Cockle-Hearne

Lemańska

et al. 2021

Support Care Cancer

View full text Add to dashboard Cite

Purpose To evaluate the effectiveness of the symptom management after radiotherapy (SMaRT) group intervention to improve urinary symptoms in men with prostate cancer. Methods The randomised controlled trial (RCT) recruited men from one radiotherapy centre in the UK after curative radiotherapy or brachytherapy and with moderate to severe urinary symptoms defined as scores ≥ 8 on the International Prostate Symptom Score (IPSS) questionnaire. Sixty-three men were randomised either; to SMaRT, a 10-week symptom-management intervention including group support, education, pelvic floor muscle exercises, or a care-as-usual group. The primary outcome was the IPSS at 6 months from baseline assessment. Secondary outcomes were IPSS at 3 months, and International Continence Society Male Short Form (ICS), European Organisation for Research and Treatment of Cancer Quality of Life prostate scale (EORTC QLQ-PR25), EORTC QLQ-30 and Self-Efficacy for Symptom Control Inventory (SESCI) at 3 and 6 months from baseline. Analysis of covariance (ANCOVA) was used to analyse the effect of the intervention. Results SMaRT group intervention did not improve urinary symptoms as measured by IPSS at 6-months. The adjusted difference was − 2.5 [95%CI − 5.0 to 0.0], p = 0.054. Significant differences were detected at 3 months in ICS voiding symptoms (− 1.1 [− 2.0 to − 0.2], p = 0.017), ICS urinary incontinence (− 1.0 [− 1.8 to − 0.1], p = 0.029) and SESCI managing symptoms domain (13.5 [2.5 to 24.4], p = 0.017). No differences were observed at 6 months. Conclusions SMaRT group intervention provided short-term benefit in urinary voiding and continence and helped men manage symptoms but was not effective long term.

show abstract

Is a behavioral treatment for urinary incontinence beneficial to prostate cancer survivors as a follow-up care?

Abstract: Seeking PFME-based treatment is crucial for long-term urinary health outcomes even if present leakage is minor or financial challenge is a concern.

Cited by 12 publications

References 16 publications

Maintenance exercises for urinary continence after rehabilitation following radical prostatectomy: Follow‐up study

Maintenance exercises for urinary continence after rehabilitation following radical prostatectomy: Follow‐up study

Defining of the Supportive Care Needs of Using Hormone Therapy Patients Have Prostate Cancer and Caregivers

Randomised controlled trial to investigate the effectiveness of the symptom management after radiotherapy (SMaRT) group intervention to ameliorate lower urinary tract symptoms in men treated for prostate cancer

Contact Info

Product

Resources

About