Early Recovery of Urinary Continence After Radical Prostatectomy Using Early Pelvic Floor Electrical Stimulation and Biofeedback Associated Treatment

No AccessJournal of UrologyAdult Urology1 Apr 2009Early Recovery of Urinary Continence After Radical Prostatectomy Using Early Pelvic Floor Electrical Stimulation and Biofeedback Associated Treatment Gianna Mariotti, Alessandro Sciarra, Alessandro Gentilucci, Stefano Salciccia, Andrea Alfarone, Giovanni Di Pierro, and Vincenzo Gentile Gianna MariottiGianna Mariotti More articles by this author , Alessandro SciarraAlessandro Sciarra More articles by this author , Alessandro GentilucciAlessandro Gentilucci More articles by this author , Stefano SalcicciaStefano Salciccia More articles by this author , Andrea AlfaroneAndrea Alfarone More articles by this author , Giovanni Di PierroGiovanni Di Pierro More articles by this author , and Vincenzo GentileVincenzo Gentile More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2008.11.104AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We analyzed the benefit of the early combined use of functional pelvic floor electrical stimulation and biofeedback in terms of time to recovery and rate of continence after radical prostatectomy. Materials and Methods: A total of 60 consecutive patients who underwent radical prostatectomy were included in the study. Patients were prospectively randomized to a treatment group (group 1) vs a control group (group 2). In group 1 a program of pelvic floor electrical stimulation plus biofeedback began 7 days after catheter removal, twice a week for 6 weeks. Each of the 12 treatment sessions was composed of biofeedback (15 minutes) followed by pelvic floor electrical stimulation (20 minutes). The evaluation of continence was performed at time 0, at 2 and 4 weeks, and at 2, 3, 4, 5 and 6 months during followup. Evaluations were performed using the 24-hour pad test and the incontinence section of the International Continence Society questionnaire. Results: The mean leakage weight became significantly lower (p <0.05) in group 1 than in group 2 starting at 4 weeks until 6 months of followup. A significant difference (p <0.05) between groups 1 and 2 in terms of percentage of continent patients was achieved from 4 weeks (63.3% group 1 and 30.0% group 2) to 6 months (96.7% group 1 and 66.7% group 2). Conclusions: Early, noninvasive physical treatment with biofeedback and pelvic floor electrical stimulation has a significant positive impact on the early recovery of urinary continence after radical prostatectomy. References 1 : Risk factors for urinary incontinence after radical prostatectomy. J Urol1996; 156: 1707. Link, Google Scholar 2 : Conservative management for postprostatectomy urinary incontinence. Cochrane Database Syst Rev2007; 2. CD001843. Google Scholar 3 : Potency, continence and complication rates in 1,870 consecutive radical retropubic prostatectomies. J Urol1999; 162: 433. Link, Google Scholar 4 : The management of stress urinary incontinence after radical prostatectomy. BJU Int2002; 90: 155. 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Google Scholar Department of Urology, University Sapienza of Rome, Rome, Italy© 2009 by American Urological AssociationFiguresReferencesRelatedDetailsCited byGoode P, Johnson T, Newman D, Vaughan C, Echt K, Markland A, Kennedy R, Van Arsdalen K, Rais-Bahrami S, Issa M, Barnacastle S, Wright K, McCabe P, Malone M, Redden D and Burgio K (2022) Perioperative Mobile Telehealth Program for Post-Prostatectomy Incontinence: A Randomized Clinical TrialJournal of Urology, VOL. 208, NO. 2, (379-387), Online publication date: 1-Aug-2022.Yamanishi T, Mizuno T, Watanabe M, Honda M and Yoshida K (2010) Randomized, Placebo Controlled Study of Electrical Stimulation With Pelvic Floor Muscle Training for Severe Urinary Incontinence After Radical ProstatectomyJournal of Urology, VOL. 184, NO. 5, (2007-2012), Online publication date: 1-Nov-2010.Ribeiro L, Prota C, Gomes C, de Bessa J, Boldarine M, Dall'Oglio M, Bruschini H and Srougi M (2010) Long-Term Effect of Early Postoperative Pelvic Floor Biofeedback on Continence in Men Undergoing Radical Prostatectomy: A Prospective, Randomized, Controlled TrialJournal of Urology, VOL. 184, NO. 3, (1034-1039), Online publication date: 1-Sep-2010. Volume 181Issue 4April 2009Page: 1788-1793 Advertisement Copyright & Permissions© 2009 by American Urological AssociationKeywordsprostatic neoplasmsurinary incontinenceelectric stimulationprostatectomybiofeedbackMetricsAuthor Information Gianna Mariotti More articles by this author Alessandro Sciarra More articles by this author Alessandro Gentilucci More articles by this author Stefano Salciccia More articles by this author Andrea Alfarone More articles by this author Giovanni Di Pierro More articles by this author Vincenzo Gentile More articles by this author Expand All Advertisement PDF downloadLoading ...