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ABSTRACT: Objective
To investigate the effect of a new therapeutic approach, using an oscillating rod to strength the pelvic floor and deep abdominal musculature and to speed up recovery of continence after radical prostatectomy.Design
Prospective randomized controlled clinical trial.Setting
Inpatient uro-oncology rehabilitation clinic.Subjects
Ninety-three (intervention group (IG)) and ninety-one patients (control group (CG)) with urinary incontinence after prostatectomy were examined.Intervention
All patients were randomly allocated to either standard pelvic floor muscle exercises and oscillating rod therapy (IG) or standard pelvic floor muscle exercises and relaxation therapy (CG).Main outcome measures
Urinary incontinence (1- and 24-hour pad test) was assessed, and health-related quality of life (HRQL; Functional Assessment of Cancer Therapy-Prostate (FACT-P) questionnaire) was measured for all patients before and after three?weeks of treatment.Results
One hundred and eighty-four patients (mean (SD) age: 64.1 (6.94) years) completed the study. The IG showed a significant reduction in urinary incontinence (1-hour pad test: P?=?0.008, 24-hour pad test: P?=?0.012) and a significant improvement of HRQL (P?=?0.017) compared with CG. Continence was significantly improved in both groups (1-hour pad test: 22.6-8.5?g (IG) vs. 23.0-18.1?g (CG)/24-hour pad test: 242.9-126.7?g (IG) vs. 237.6-180.9?g (CG)).Conclusion
The study demonstrated that a combination of conventional continence exercises and the new oscillation rod training increased abdominal and pelvic floor musculature and speeded up recovery of continence after radical prostatectomy.
SUBMITTER: Heydenreich M
PROVIDER: S-EPMC7029439 | biostudies-literature | 2020 Mar
REPOSITORIES: biostudies-literature
Heydenreich Marc M Puta Christian C Gabriel Holger Hw HH Dietze Andre A Wright Peter P Zermann Dirk-Henrik DH
Clinical rehabilitation 20191220 3
<h4>Objective</h4>To investigate the effect of a new therapeutic approach, using an oscillating rod to strength the pelvic floor and deep abdominal musculature and to speed up recovery of continence after radical prostatectomy.<h4>Design</h4>Prospective randomized controlled clinical trial.<h4>Setting</h4>Inpatient uro-oncology rehabilitation clinic.<h4>Subjects</h4>Ninety-three (intervention group (IG)) and ninety-one patients (control group (CG)) with urinary incontinence after prostatectomy w ...[more]