Pre-operative training induces changes in the histomorphometry and muscle function of the pelvic floor in patients with indication of radical prostatectomy

Ocampo-Trujillo, Á.; Carbonell-González, J.; Martínez-Blanco, Antonio; Díaz-Hung, Andrés Manuel; Muñoz, Claudia; Ramírez‐Vélez, Robinson

doi:10.1016/j.acuroe.2014.02.017

Cited by 12 publications

(22 citation statements)

References 23 publications

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“…The other trial (n=16) assessed quality of life using the mental and physical component of the Prostate Cancer Index at the postoperative follow-up. There was no significant difference between the groups for either the mental or physical component scores 38. The quality of evidence was very low (table 4).…”

Section: Resultsmentioning

confidence: 89%

Preoperative exercise halves the postoperative complication rate in patients with lung cancer: a systematic review of the effect of exercise on complications, length of stay and quality of life in patients with cancer

et al. 2018

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Section: Resultsmentioning

confidence: 89%

Preoperative exercise halves the postoperative complication rate in patients with lung cancer: a systematic review of the effect of exercise on complications, length of stay and quality of life in patients with cancer

et al. 2018

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“…It is striking that many studies do not specify the initial losses although they do use tests that include them. 10,13,16,18,20,[26][27][28] The interventions that reported best results combined PFE + BF, 11,16 BF + ET, 20 but the intervention that obtained the best results is an intensive PFE program. 10 The ICIQ-SF results show significant differences at 2 months in favor of the intervention group, in studies that used this same questionnaire for assessment of urinary incontinence, 13,17,21,29,30 where significant improvements were observed after the first month.…”

Section: Discussionmentioning

confidence: 99%

“…But what seems evident is that ET is the most appropriate treatment when muscle weakness is pronounced. 34 Many articles report that BF has been used in the treatment of male urinary incontinence 11,14,16,20,25,26,30,33,[35][36][37][38] and the benefits of this therapy are that it facilitates learning of PFEs, giving the patient the possibility to conduct selfassessments, thereby increasing motivation towards treatment. 39 There are diverse results after application of BF, with positive result in the most of the studies, 11,16,20,26,30,37 when used on its own or combined with other treatments.…”

Section: Discussionmentioning

confidence: 99%

Early 3‐month treatment with comprehensive physical therapy program restores continence in urinary incontinence patients after radical prostatectomy: A randomized controlled trial

González

Carrera

Nieto

et al. 2020

Neurourology and Urodynamics

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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.

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“…Este estudio es el primer reporte a nivel nacional que evalúa el efecto del EMSP en pacientes con DE como consecuencia de la PR. El protocolo de rehabilitación incluyó ejercicios de piso pélvico, electroestimulación y biofeedback, los cuales han sido evaluados en pacientes con incontinencia urinaria, 12 pero existen pocos reportes en DE en pacientes sometidos a PR. 3, 7,8 Nuestros resultados evidenciaron una mejoría del grado de la función eréctil en la mayoría de los pacientes, sin embargo, en 2 casos no se logró obtener una mejoría de los síntomas.…”

Section: Discussionunclassified

Entrenamiento de la musculatura del piso pélvico como parte del tratamiento para la disfunción eréctil después de prostatectomía radical: serie de casos, experiencia en un centro médico de alta complejidad

et al. 2018

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Introducción La disfunción eréctil se ha reconocido como una complicación de la prostatectomía radical. El entrenamiento de los músculos del piso pélvico puede ser una opción terapéutica, sin embargo, existe poca evidencia sobre el efecto del entrenamiento en la función eréctil. Objetivo Describir el efecto de la rehabilitación de la musculatura de piso pélvico en la función eréctil en hombres > 40 años con disfunción eréctil después de prostatectomía radical. Métodos Estudio retrospectivo basado en la revisión de historias clínicas de pacientes con disfunción eréctil después de prostatectomía radical, sometidos a un protocolo de rehabilitación con ejercicios de músculos de piso pélvico, biofeedback y electroestimulación. La función eréctil se evaluó por el índice internacional de la función eréctil (IIEF-5). La presión de los elevadores del ano se midió con el equipo Myomed134 y la fuerza muscular con la escala modificada de Oxford. Resultados Se incluyeron 13 hombres con edad promedio de 63,2 ± 8 años, sin historia de consumo de tabaco y con índice de masa corporal de 24,9 ± 2,6 kg/m2. Antes de la intervención, se encontraron 10 casos con disfunción severa y 3 de leve a moderada, según el cuestionario IIEF-5. Después de la intervención, se encontró mejoría en 11 pacientes en la función eréctil: 7 con mejoría completa, 4 con disfunción eréctil leve. En 2 casos no se presentó mejoría. Conclusión El estudio muestra que el efecto del entrenamiento de la musculatura de piso pélvico es beneficioso en la recuperación de la función eréctil después de prostatectomía radical.

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Pre-operative training induces changes in the histomorphometry and muscle function of the pelvic floor in patients with indication of radical prostatectomy

Cited by 12 publications

References 23 publications

Preoperative exercise halves the postoperative complication rate in patients with lung cancer: a systematic review of the effect of exercise on complications, length of stay and quality of life in patients with cancer

Preoperative exercise halves the postoperative complication rate in patients with lung cancer: a systematic review of the effect of exercise on complications, length of stay and quality of life in patients with cancer

Early 3‐month treatment with comprehensive physical therapy program restores continence in urinary incontinence patients after radical prostatectomy: A randomized controlled trial

Entrenamiento de la musculatura del piso pélvico como parte del tratamiento para la disfunción eréctil después de prostatectomía radical: serie de casos, experiencia en un centro médico de alta complejidad

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