Recovery of Urinary Continence After Radical Prostatectomy Using Early vs Late Pelvic Floor Electrical Stimulation and Biofeedback-associated Treatment

Mariotti, Gianna; Sciarra, Alessandro; Gentilucci, Alessandro; Salciccia, Stefano; Alfarone, Andrea; Pierro, Giovanni Di; Gentile, Vincenzo

doi:10.1016/j.urology.2015.02.064

Cited by 43 publications

(35 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The Pilates method promoted significant improvement in QoL scores (ICIQ‐SF) when compared to the control group. Our findings are also consistent with the clinical trial conducted by Pedriali et al, which demonstrated benefits of Pilates exercises in PPUI patients (ICIQ‐SF = 0 in 38.5% of patients in the Pilates group versus 6.5% in the control group) …”

Section: Discussionsupporting

confidence: 92%

“…The reduction in the number of pads found in our study is consistent with previously published literature and reinforces the importance of early postoperative intervention to speed up continence recovery . The Pilates method promoted significant improvement in QoL scores (ICIQ‐SF) when compared to the control group.…”

Section: Discussionsupporting

confidence: 90%

“…This study suggested that Pilates might produce similar benefits for UI as traditional PFMT. 16 Pedriali et al 17 published the first study on Pilates in the rehabilitation of patients with PPUI, which demonstrated similar benefits of Pilates exercises compared to PFMT. In addition, the authors observed improvements in quality of life scores in patients treated with Pilates versus PFMT.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The effects of Pilates method on pelvic floor muscle strength in patients with post‐prostatectomy urinary incontinence: A randomized clinical trial

Gomes

Pedriali

Urbano

et al. 2017

Neurourology and Urodynamics

View full text Add to dashboard Cite

Aims: To assess the effects of a Pilates exercise program compared to conventional pelvic floor muscle training (PFMT) protocol on pelvic floor muscle strength (PFMS) in patients with post-prostatectomy urinary incontinence. Methods: Patients were randomized into three treatment groups (G1: Pilates, G2: electrical stimulation combined with PFMT, and G3: control group). Duration of therapy was 10 weeks. Baseline assessment included the 24 h pad-test and the ICI-Q questionnaire. PFMS was measured using a manometric perineometry device at baseline and 4 months after radical prostatectomy (RP). The level of significance was P < 0.05. Results: One hundred twenty three patients were randomized and 104 patients completed the study protocol (G1: n = 34; G2: n = 35; G3: n = 35). Post-treatment assessment showed statistically significant improvements in maximum strength in G2, increased endurance in G1 and G2, and increment of muscle power in all three groups (P < 0.05). However, there were no significant differences in the mean changes of maximum strength, endurance, and muscle power between groups after treatment (P > 0.05). G1 and G2 achieved a higher number of fully continent patients than G3 (P < 0.05). At the end of treatment, 59% of patients in G1, 54% in G2, and 26% in G3 were continent (no pads/day). Conclusions: Improvements in PFMS parameters were distinct among active treatment groups versus controls, but did not predict recovery of urinary continence at final assessment. The Pilates method promoted similar outcomes in the proportion of fully continent patients when compared to conventional PFMT 4 months after RP. K E Y W O R D Spelvic floor muscle strength, Pilates protocol, radical prostatectomy, urinary incontinence Hashim Hashim led the peer-review process as the Associate Editor responsible for the paper.346 |

show abstract

Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The effects of Pilates method on pelvic floor muscle strength in patients with post‐prostatectomy urinary incontinence: A randomized clinical trial

Gomes

Pedriali

Urbano

et al. 2017

Neurourology and Urodynamics

View full text Add to dashboard Cite

show abstract

“…Biofeedback is designed to assist patients’ correct muscle contraction and adherence to the PFMT regimen. Subsequently, biofeedback and electrical stimulation therapies have been introduced and evaluated in the field of PPI in previous RCT studies . Ribeiro et al carried out an RCT of 73 patients and found that early biofeedback‐PFMT was superior to the control group in continence rate at 1 year after surgery (96% vs 75%; P = .028).…”

Section: Introductionmentioning

confidence: 99%

“…Subsequently, biofeedback and electrical stimulation therapies have been introduced and evaluated in the field of PPI in previous RCT studies. [8][9][10][11][12][13] Ribeiro et al 9 carried out an RCT of 73 patients and found that early biofeedback-PFMT was superior to the control group in continence rate at 1 year after surgery (96% vs 75%; P = .028). However, even with extensive clinical evaluation of these regimens for PFM localization and exercise, the majority of studies failed to show any significant improvement over the conventional behavioral therapy.…”

Section: Introductionmentioning

confidence: 99%

Effect of personalized extracorporeal biofeedback device for pelvic floor muscle training on urinary incontinence after robot‐assisted radical prostatectomy: A randomized controlled trial

Kim

Lee

et al. 2019

Neurourology and Urodynamics

View full text Add to dashboard Cite

Aims: To investigate the effectiveness of a novel personalized extracorporeal biofeedback device (Anykegel) for pelvic floor muscle training (PFMT) on the recovery of postprostatectomy urinary incontinence (PPI) after robot-assisted laparoscopic radical prostatectomy (RARP) through a randomized controlled trial. Methods: A total of 84 patients who underwent RARP were randomized either to the intervention group (42) (receiving biofeedback-PFMT using a novel device in addition to verbal and written instruction) or to the control group (42). Patients were evaluated 1, 2, and 3 months after surgery. Incontinence severity was measured by the 24-hour pad test. The International Prostate Symptom Score (IPSS) and the International Index of Erectile Function (IIEF-5) questionnaire were also assessed. Results:The intervention group showed a significantly smaller volume of urine loss at the 1-month follow-up than the control group on a 24-hour pad test (71.0 g vs 120.8 g; P = .028). However, from the 2-month follow-up visit, no significant differences were observed between the two groups. In addition, in the 1-month follow-up data of the IPSS-total score, the intervention group demonstrated significantly favorable changes from baseline with improved scores compared to the control group (0.25 ± 9.15 vs −3.81 ± 8.98; P = .046).Regarding the IIEF-5 score changes, no significant differences were reported throughout the study periods. Conclusions:The personalized extracorporeal biofeedback device for PFMT offers a significant positive effect on the recovery of PPI after RARP, especially in the early postoperative period. Furthermore, patients can be offered more convenience through performing the regular exercise at any place with ease. K E Y W O R D Sbiofeedback, pelvic floor muscle training, radical prostatectomy, robotic, urinary incontinence Jong Jin Oh and Jung Kwon Kim contributed equally to this work.

show abstract

Behavioral Therapy With or Without Biofeedback and Pelvic Floor Electrical Stimulation for Persistent Postprostatectomy Incontinence

Goode

Burgio

Johnson

et al. 2011

JAMA

152

View full text Add to dashboard Cite

Recovery of Urinary Continence After Radical Prostatectomy Using Early vs Late Pelvic Floor Electrical Stimulation and Biofeedback-associated Treatment

Cited by 43 publications

References 17 publications

The effects of Pilates method on pelvic floor muscle strength in patients with post‐prostatectomy urinary incontinence: A randomized clinical trial

The effects of Pilates method on pelvic floor muscle strength in patients with post‐prostatectomy urinary incontinence: A randomized clinical trial

Effect of personalized extracorporeal biofeedback device for pelvic floor muscle training on urinary incontinence after robot‐assisted radical prostatectomy: A randomized controlled trial

Behavioral Therapy With or Without Biofeedback and Pelvic Floor Electrical Stimulation for Persistent Postprostatectomy Incontinence

Contact Info

Product

Resources

About