Pelvic floor muscle exercise with biofeedback helps regain urinary continence after robot-assisted radical prostatectomy
Background To determine the benefit of pelvic floor muscle exercise (PFME) with visual biofeedback on promoting patient recovery from incontinence, we investigated variables associated with the early restoration of continence for patients who robot-assisted radical prostatectomy (RARP). Methods Of t...
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| Format: | Article |
| Language: | English |
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Yeungnam University College of Medicine
2021-01-01
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| Series: | Yeungnam University Journal of Medicine |
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| Online Access: | http://www.e-yujm.org/upload/pdf/yujm-2020-00276.pdf |
| _version_ | 1818412755863994368 |
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| author | Yeong Uk Kim Dong Gyu Lee Young Hwii Ko |
| author_facet | Yeong Uk Kim Dong Gyu Lee Young Hwii Ko |
| author_sort | Yeong Uk Kim |
| collection | DOAJ |
| description | Background To determine the benefit of pelvic floor muscle exercise (PFME) with visual biofeedback on promoting patient recovery from incontinence, we investigated variables associated with the early restoration of continence for patients who robot-assisted radical prostatectomy (RARP). Methods Of the 83 patients enrolled, 41 consecutive patients completed PFME (the exercise group), and the other 42 consecutive patients just before the PFME program commenced (the control group). The primary outcome was whether PFME engagement was associated with zero pad continence restoration within 3 months of surgery. Results Continence restoration percentages (defined as zero pads used per day) at 1, 3, and 6 months after surgery were 49.4%, 77.1%, and 94.0%, respectively. The exercise group achieved significantly higher recovery rates at 1 month (p=0.037), 3 months (p<0.001), and 6 months (p=0.023). Cox regression analysis demonstrated that a lower Gleason score (<8; hazard ratio [HR], 2.167), lower prostate specific antigen (<20 ng/dL; HR, 2.909), and engagement in PFME (HR, 3.731) were independent predictors of early recovery from postprostatectomy incontinence. Stratification by age showed that those younger than 65 years did not benefit significantly from exercise (log-rank test, p=0.08), but that their elderly counterparts, aged 65–70 years (p=0.007) and >70 years old (p=0.002) benefited significantly. Conclusion This study suggests that postoperative engagement in PFME with biofeedback speeds up the recovery of continence in elderly patients (≥65 years old) that undergo RARP. |
| first_indexed | 2024-12-14T10:52:21Z |
| format | Article |
| id | doaj.art-f4236eed0d914d7ca8f6b13507f98c5c |
| institution | Directory Open Access Journal |
| issn | 2384-0293 |
| language | English |
| last_indexed | 2024-12-14T10:52:21Z |
| publishDate | 2021-01-01 |
| publisher | Yeungnam University College of Medicine |
| record_format | Article |
| series | Yeungnam University Journal of Medicine |
| spelling | doaj.art-f4236eed0d914d7ca8f6b13507f98c5c2022-12-21T23:05:08ZengYeungnam University College of MedicineYeungnam University Journal of Medicine2384-02932021-01-01381394610.12701/yujm.2020.002762493Pelvic floor muscle exercise with biofeedback helps regain urinary continence after robot-assisted radical prostatectomyYeong Uk Kim0Dong Gyu Lee1Young Hwii Ko2 Department of Urology, Yeungnam Hospital of Medicine, Daegu, Korea Department of Physical Medicine and Rehabilitation, Yeungnam University College of Medicine, Daegu, Korea Department of Urology, Yeungnam University College of Medicine, Daegu, KoreaBackground To determine the benefit of pelvic floor muscle exercise (PFME) with visual biofeedback on promoting patient recovery from incontinence, we investigated variables associated with the early restoration of continence for patients who robot-assisted radical prostatectomy (RARP). Methods Of the 83 patients enrolled, 41 consecutive patients completed PFME (the exercise group), and the other 42 consecutive patients just before the PFME program commenced (the control group). The primary outcome was whether PFME engagement was associated with zero pad continence restoration within 3 months of surgery. Results Continence restoration percentages (defined as zero pads used per day) at 1, 3, and 6 months after surgery were 49.4%, 77.1%, and 94.0%, respectively. The exercise group achieved significantly higher recovery rates at 1 month (p=0.037), 3 months (p<0.001), and 6 months (p=0.023). Cox regression analysis demonstrated that a lower Gleason score (<8; hazard ratio [HR], 2.167), lower prostate specific antigen (<20 ng/dL; HR, 2.909), and engagement in PFME (HR, 3.731) were independent predictors of early recovery from postprostatectomy incontinence. Stratification by age showed that those younger than 65 years did not benefit significantly from exercise (log-rank test, p=0.08), but that their elderly counterparts, aged 65–70 years (p=0.007) and >70 years old (p=0.002) benefited significantly. Conclusion This study suggests that postoperative engagement in PFME with biofeedback speeds up the recovery of continence in elderly patients (≥65 years old) that undergo RARP.http://www.e-yujm.org/upload/pdf/yujm-2020-00276.pdfagedbiofeedbackprostatectomyurinary incontinence |
| spellingShingle | Yeong Uk Kim Dong Gyu Lee Young Hwii Ko Pelvic floor muscle exercise with biofeedback helps regain urinary continence after robot-assisted radical prostatectomy Yeungnam University Journal of Medicine aged biofeedback prostatectomy urinary incontinence |
| title | Pelvic floor muscle exercise with biofeedback helps regain urinary continence after robot-assisted radical prostatectomy |
| title_full | Pelvic floor muscle exercise with biofeedback helps regain urinary continence after robot-assisted radical prostatectomy |
| title_fullStr | Pelvic floor muscle exercise with biofeedback helps regain urinary continence after robot-assisted radical prostatectomy |
| title_full_unstemmed | Pelvic floor muscle exercise with biofeedback helps regain urinary continence after robot-assisted radical prostatectomy |
| title_short | Pelvic floor muscle exercise with biofeedback helps regain urinary continence after robot-assisted radical prostatectomy |
| title_sort | pelvic floor muscle exercise with biofeedback helps regain urinary continence after robot assisted radical prostatectomy |
| topic | aged biofeedback prostatectomy urinary incontinence |
| url | http://www.e-yujm.org/upload/pdf/yujm-2020-00276.pdf |
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