Reducing urine leakage after radical retropubic prostatectomy: pelvic floor exercises, magnetic innervation or no treatment? A quasi-experimental study

Rehabil Nurs. 2013 May-Jun;38(3):153-60. doi: 10.1002/rnj.72.

Abstract

Background: In Italy, nurses can use pelvic floor muscle exercises (PFMEs) and extracorporeal magnetic innervation (ExMI) to treat urinary incontinence after radical retropubic prostatectomy (RRP). The efficacy of these treatments remains unclear.

Purpose: To compare PFMEs, ExMI, in the management of post-RRP urinary incontinence.

Methodology: This study compared PFMEs versus no treatment in reducing bladder continence difficulties, and PFMEs versus ExMI in reducing urine leakage. A total of 87 patients were treated with PFMEs, 23 with ExMI; 22 refused rehabilitation (control group).

Findings: Three months after RRP, both interventions reduced the International Prostate Symptom Score, when compared to control group. After 6 months, no significant differences between the treatments were found (p = .8346). After a complete ExMI treatment (6 weeks), 63.88% lost less than 10 grams of urine per day (32.73% in the PFMEs group, p < .0001).

Conclusions: PFMEs are useful up to the 3rd month after surgery; ExMI reduces leakages faster than PFMEs.

Publication types

  • Clinical Trial
  • Comparative Study

MeSH terms

  • Aged
  • Exercise Therapy*
  • Humans
  • Magnetics*
  • Male
  • Middle Aged
  • Pelvic Floor
  • Postoperative Complications / nursing
  • Postoperative Complications / rehabilitation*
  • Prostatectomy / nursing*
  • Prostatectomy / rehabilitation
  • Rehabilitation Nursing / methods
  • Urinary Incontinence / nursing
  • Urinary Incontinence / rehabilitation*