Pelvic Rehabilitation for Urinary Incontinence after Radical Prostatectomy
Radical prostatectomy (RP) performed by open, laparoscopic, or robotic approach is considered the gold standard for localized prostate cancer (PCa). However, it carries the risk of postprostatectomy urinary incontinence (UI) and erectile dysfunction (ED) which significantly reduce patients’ satis...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Sestre Milosrdnice University hospital, Institute of Clinical Medical Research
2022-01-01
|
| Series: | Acta Clinica Croatica |
| Subjects: | |
| Online Access: | https://hrcak.srce.hr/file/414417 |
| Summary: | Radical prostatectomy (RP) performed by open, laparoscopic, or robotic approach is
considered the gold standard for localized prostate cancer (PCa). However, it carries the risk of postprostatectomy
urinary incontinence (UI) and erectile dysfunction (ED) which significantly reduce
patients’ satisfaction with surgery and quality of life (QoL), therefore it is important to decrease the
possibility or severity of these complications to a minimum.
There are several preoperative prognostic factors such as urethral length and closing pressure obtained
by magnetic resonance imaging and profilometry, as well as several variations in the surgical approach
such as preservation of the neurovascular bundle (NVB) and puboprostatic ligaments, sparing
or reconstruction of bladder neck, Retzius-sparing approach, and meticulous surgical dissection, used
to predict or prevent unwanted side effects of RP. In addition, there are postoperative methods that
can help reduce complications. In this review, we will present the role of pelvic rehabilitation with an
emphasis on pelvic floor muscle training (PFMT) in reducing consequences of radical surgery. |
|---|---|
| ISSN: | 0353-9466 1333-9451 |