Effects of perioperative pelvic floor muscle training on early recovery of urinary continence and erectile function in men undergoing radical prostatectomy: a randomized clinical trial

G. Lira, A. Fornari, L. Cardoso, Magda Aranchipe, Carmem Kretiska, E. Rhoden
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引用次数: 34

Abstract

ABSTRACT Aims: Radical prostatectomy (RP) can result in urinary incontinence (UI) and erectile dysfunction (ED), which negatively impact quality of life (QoL). This study aimed to evaluate the effects of a perioperative pelvic floor muscle training (PFMT) program versus usual care on early recovery of urinary continence and erectile function after RP. Materials and Methods: Of 59 eligible men, 31 were randomly allocated into 2 groups: Group 1 (Control, N=15) received usual post-RP care; and Group 2 (Physical therapy, N=16) received two pre-RP physical therapist-guided PFMT sessions, including exercises and electromyographic biofeedback, and verbal and written instructions to continue PFMT until RP, which was then resumed after urethral catheter removal. The International Consultation on Incontinence Questionnaire - Short Form (ICIQ-SF) and the 5-item version of the International Index of Erectile Function (IIEF-5) questionnaire were used to evaluate UI and ED, respectively. Results: Demographic characteristics were similar in both groups. Three months after RP, the UI rate was 72.7% and 70.0% in Groups 1 and 2, respectively (P >0.05). The severity and frequency of UI and its impact on QoL were evaluated by the ICIQ-Short Form, with scores of 6.9±6.26 in Group 1 and 7.0±5.12 in Group 2 (P >0.05). The IIEF-5 scores were similar in Groups 1 and 2 (5.73±7.43 vs. 6.70±6.68, respectively) (P >0.05). Conclusion: Our pre-RP protocol of two physical therapist-assisted sessions of PFMT plus instructions did not significantly improve urinary continence or erectile function at 3 months after RP.
围手术期盆底肌训练对根治性前列腺切除术患者尿失禁和勃起功能早期恢复的影响:一项随机临床试验
摘要目的:根治性前列腺切除术(RP)可导致尿失禁(UI)和勃起功能障碍(ED),对生活质量(QoL)产生负面影响。本研究旨在评估围手术期盆底肌肉训练(PFMT)计划与常规护理对RP术后尿失禁和勃起功能早期恢复的影响。材料与方法:59例符合条件的男性中,31例随机分为2组:1组(对照组,N=15)接受常规rp后护理;第2组(物理治疗,N=16)接受两次RP前物理治疗师指导的PFMT疗程,包括练习和肌电生物反馈,口头和书面指示继续PFMT直到RP,然后在拔出导尿管后恢复。采用国际尿失禁简易问卷(ICIQ-SF)和5项版国际勃起功能指数(IIEF-5)分别评价UI和ED。结果:两组人口统计学特征相似。术后3个月,1组和2组患者的尿失禁率分别为72.7%和70.0% (P >0.05)。采用ICIQ-Short Form量表评估患者UI的严重程度、频次及其对生活质量的影响,1组评分为6.9±6.26分,2组评分为7.0±5.12分(P >0.05)。1、2组患者IIEF-5评分差异无统计学意义(分别为5.73±7.43∶6.70±6.68)(P >0.05)。结论:我们的RP前方案是两次物理治疗师辅助的PFMT加上指导,并没有显著改善RP后3个月的尿失禁或勃起功能。
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