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Title: An objective measurement of urinary continence recovery with pelvic floor physiotherapy following robotic assisted radical prostatectomy
Austin Authors: Sathianathen, Niranjan J;Johnson, Liana;Bolton, Damien M ;Lawrentschuk, Nathan
Affiliation: Department of Surgical Oncology, Peter MacCallum Cancer Centre, University of Melbourne, Melbourne, Australia
Olivia Newton-John Cancer Research Institute, Heidelberg, Victoria, Australia
Department of Surgery, Austin Health, The University of Melbourne, Heidelberg, Victoria, Australia
Pelvic Strength Physiotherapy, Melbourne, Australia
Department of Surgical Oncology, Peter MacCallum Cancer Centre, University of Melbourne, Melbourne, Australia
Issue Date: Jul-2017
Publication information: Translational andrology and urology 2017; 6(Suppl 2): S59-S63
Abstract: BACKGROUND: To assess the impact of structured pelvic floor physiotherapy including repeated standardized measurements in regaining urinary continence in those men who have undergone a robotic-assisted laparoscopic radical prostatectomy (RALP). METHODS: A retrospective database was created on men who had undergone a RALP while under the care of two senior urological surgeons between January 2013 and July 2016 and then took part in a formal pelvic floor rehabilitation program were included in the study. Men were initially seen pre-operatively and then after removal of their indwelling catheter commenced their structured continence program. They were instructed to record their pad weights commencing at week four post-RALP. For each subsequent week, an average of the 24-hour urine leakage was recorded and compared to their first recorded week (baseline) to assess improvement of urinary continence over time. RESULTS: Forty-five men with a median age of 63.7 years were followed up for a mean of 11.3 weeks post-operatively. The mean daily urine leakage during the first recorded week was 408.0 mL. This decreased to 205.8 and 110.1 mL at 2 and 3 months post-RALP (P<0.05). This equated to a significant 57.1% (95% CI, 52.9% to 61.3%) and 75.6% (95% CI, 72.3% to 78.8%) improvement in urinary leakage at the same respective time points. CONCLUSIONS: There is considerable improvement of urinary leakage following RALP in the short-term in men who participated in a structured, physiotherapist-led pelvic floor re-training program.
DOI: 10.21037/tau.2017.04.11
ORCID: 0000-0002-3710-014X
PubMed URL: 28791222
ISSN: 2223-4691
Type: Journal Article
Subjects: Exercise therapy
pelvic floor
urinary incontinence (UI)
Appears in Collections:Journal articles

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