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: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Sestre Milosrdnice University hospital, Institute of Clinical Medical Research
2022-01-01
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| Series: | Acta Clinica Croatica |
| Subjects: | |
| Online Access: | https://hrcak.srce.hr/file/414417 |
| _version_ | 1797206606519205888 |
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| author | Tvrtko Hudolin Helena Kolar Mitrović Mirko Bakula Tomislav Kuliš Luka Penezić Toni Zekulić Ilija Jurić Željko Kaštelan |
| author_facet | Tvrtko Hudolin Helena Kolar Mitrović Mirko Bakula Tomislav Kuliš Luka Penezić Toni Zekulić Ilija Jurić Željko Kaštelan |
| author_sort | Tvrtko Hudolin |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-24T09:09:41Z |
| format | Article |
| id | doaj.art-aaead70d39db4af792877221f261be58 |
| institution | Directory Open Access Journal |
| issn | 0353-9466 1333-9451 |
| language | English |
| last_indexed | 2024-04-24T09:09:41Z |
| publishDate | 2022-01-01 |
| publisher | Sestre Milosrdnice University hospital, Institute of Clinical Medical Research |
| record_format | Article |
| series | Acta Clinica Croatica |
| spelling | doaj.art-aaead70d39db4af792877221f261be582024-04-15T18:04:05ZengSestre Milosrdnice University hospital, Institute of Clinical Medical ResearchActa Clinica Croatica0353-94661333-94512022-01-0161.Supplement 3717510.20471/acc.2022.61.s3.10Pelvic Rehabilitation for Urinary Incontinence after Radical ProstatectomyTvrtko Hudolin0Helena Kolar Mitrović1Mirko Bakula2Tomislav Kuliš3Luka Penezić4Toni Zekulić5Ilija Jurić6Željko Kaštelan7Department of Urology, University Hospital Centre Zagreb, Zagreb, CroatiaDepartment of Rheumatology and Rehabilitation, University Hospital Centre Zagreb, Zagreb, CroatiaDepartment of Urology, University Hospital Centre Zagreb, Zagreb, CroatiaDepartment of Urology, University Hospital Centre Zagreb, Zagreb, CroatiaDepartment of Urology, University Hospital Centre Zagreb, Zagreb, CroatiaDepartment of Urology, University Hospital Centre Zagreb, Zagreb, CroatiaDepartment of Urology, University Hospital Centre Zagreb, Zagreb, CroatiaDepartment of Urology, University Hospital Centre Zagreb, Zagreb, CroatiaRadical 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.https://hrcak.srce.hr/file/414417Radical ProstatectomyUrinary IncontinencePelvic RehabilitationPelvic Floor Muscle Training |
| spellingShingle | Tvrtko Hudolin Helena Kolar Mitrović Mirko Bakula Tomislav Kuliš Luka Penezić Toni Zekulić Ilija Jurić Željko Kaštelan Pelvic Rehabilitation for Urinary Incontinence after Radical Prostatectomy Acta Clinica Croatica Radical Prostatectomy Urinary Incontinence Pelvic Rehabilitation Pelvic Floor Muscle Training |
| title | Pelvic Rehabilitation for Urinary Incontinence after Radical Prostatectomy |
| title_full | Pelvic Rehabilitation for Urinary Incontinence after Radical Prostatectomy |
| title_fullStr | Pelvic Rehabilitation for Urinary Incontinence after Radical Prostatectomy |
| title_full_unstemmed | Pelvic Rehabilitation for Urinary Incontinence after Radical Prostatectomy |
| title_short | Pelvic Rehabilitation for Urinary Incontinence after Radical Prostatectomy |
| title_sort | pelvic rehabilitation for urinary incontinence after radical prostatectomy |
| topic | Radical Prostatectomy Urinary Incontinence Pelvic Rehabilitation Pelvic Floor Muscle Training |
| url | https://hrcak.srce.hr/file/414417 |
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