Journal of Yeungnam Medical Science

Original article

Pelvic floor muscle exercise with biofeedback helps regain urinary continence after robot-assisted radical prostatectomy: Yeong Uk Kim, Dong Gyu Lee, Young Hwii Ko; Yeungnam Univ J Med. 2021;38(1):39-46. Published online June 22, 2020; DOI: https://doi.org/10.12701/yujm.2020.00276

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Background
To determine the benefit of pelvic floor muscle exercise with visual biofeedback on promoting patient recovery from incontinence, we investigated variables associated with the early restoration of continence for patients who underwent robot-assisted radical prostatectomy.
Methods
Of the 83 patients enrolled, 41 consecutive patients completed pelvic floor muscle exercise (the exercise group), and the other 42 consecutive patients just before the pelvic floor muscle exercise program commenced (the control group). The primary outcome was whether pelvic floor muscle exercise engagement was associated with zero pad continence restoration within 3 months of surgery.
Results
Continence restoration percentages (defined as zero pads used per day) at 1, 3, and 6 months after surgery were 49.4%, 77.1%, and 94.0%, respectively. The exercise group achieved significantly higher recovery rates at 1 month (p=0.037), 3 months (p<0.001), and 6 months (p=0.023). Cox regression analysis demonstrated that a lower Gleason score (<8; hazard ratio, 2.167), lower prostate specific antigen (<20 ng/dL; hazard ratio, 2.909), and engagement in pelvic floor muscle exercise (hazard ratio, 3.731) were independent predictors of early recovery from postprostatectomy incontinence. Stratification by age showed that those younger than 65 years did not benefit significantly from exercise (log-rank test, p=0.08), but that their elderly counterparts, aged 65–70 years (p=0.007) and >70 years old (p=0.002) benefited significantly.
Conclusion
This study suggests that postoperative engagement in pelvic floor muscle exercise with biofeedback speeds up the recovery of continence in elderly patients (≥65 years old) that undergo robot-assisted radical prostatectomy.

Citations

Citations to this article as recorded by

Urinary incontinence rehabilitation of after radical prostatectomy: a systematic review and network meta-analysis
Kai Yu, Fan Bu, Tengteng Jian, Zejun Liu, Rui Hu, Sunmeng Chen, Ji Lu
Frontiers in Oncology.2024;[Epub] CrossRef
Factors influencing engagement in pelvic floor muscle exercise following radical prostatectomy: A scoping review
Yousef Qan'ir, Lixin Song, Kathleen Knafl, Paschal Sheeran, Hung‐Jui Tan, Mohammed Shahait, Ahmad AL‐Sagarat
International Journal of Urological Nursing.2024;[Epub] CrossRef
Pelvic floor muscle training in men with post-prostatectomy urinary incontinence: a scoping review
Jackelline Evellin Moreira dos Santos, Virginia Visconde Brasil, Cissa Azevedo, Lívia Cristina de Resende Izidoro, Anna Julia Guimarães Batista, André Carlos Santos Ferreira, Luciana Regina Ferreira da Mata
Revista Latino-Americana de Enfermagem.2024;[Epub] CrossRef
Entrenamiento de los músculos del piso pélvico en hombres con incontinencia urinaria post prostatectomía: revisión de alcance
Jackelline Evellin Moreira dos Santos, Virginia Visconde Brasil, Cissa Azevedo, Lívia Cristina de Resende Izidoro, Anna Julia Guimarães Batista, André Carlos Santos Ferreira, Luciana Regina Ferreira da Mata
Revista Latino-Americana de Enfermagem.2024;[Epub] CrossRef
Treinamento dos músculos do assoalho pélvico em homens com incontinência urinária pós-prostatectomia: revisão do escopo
Jackelline Evellin Moreira dos Santos, Virginia Visconde Brasil, Cissa Azevedo, Lívia Cristina de Resende Izidoro, Anna Julia Guimarães Batista, André Carlos Santos Ferreira, Luciana Regina Ferreira da Mata
Revista Latino-Americana de Enfermagem.2024;[Epub] CrossRef
Single Session Pre-Operative Pelvic Floor Muscle Training with Biofeedback on Urinary Incontinence and Quality of Life after Radical Prostatectomy
Mohammad-Hatef Khorrami, Amir Mohseni, Farshad Gholipour, Farshid Alizadeh, Mahtab Zargham, Mohammad-Hossein Izadpanahi, Mehrdad Mohammadi Sichani, Farbod Khorrami
Urological Science.2023; 34(1): 23. CrossRef
Effect of Kegel exercises on the prevention of urinary and fecal incontinence in patients with prostate cancer undergoing radiotherapy
A.E. Urvaylıoğlu, S. Kutlutürkan, D. Kılıç
European Journal of Oncology Nursing.2021; 51: 101913. CrossRef

Original Article

The Efficacy of Biofeedback and Electrical Stimulation by Kontinence HMT2000 in the Treatment of Stress Urinary Incontinence Patients.: Yeun Kyoung Bae, Dae Hyung Lee, Sung Chul Park, Sung Hee Jin, Min Whan Koh, Tae Hyung Lee; Yeungnam Univ J Med. 2003;20(1):36-44. Published online June 30, 2003; DOI: https://doi.org/10.12701/yujm.2003.20.1.36

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Abstract PDF

BACKGROUND
To evaluate the efficacy of EMG biofeedback and pelvic floor electrical stimulation in the stress urinary incontinence patients by Kontinence HMT2000. MATERIALS AND METHODS: A group of 14 patients with stress urinary incontinence were treated with combined biofeedback and intravaginal electrical stimulation during 12 sessions from 2 weeks to 6 weeks. RESULTS: At immediate post treatment, subjective cure rate was 28% and improvement rate was 57% and failure rate was 15%. Thus the overall success rate for this treatment was 85%. The result of 3 months after treatment showed cure rate 14% and improvement rate was 43%. Intravaginal pressure increased by an average of 11.9 cmH2O. Increased vaginal pressure was found in 93% of the patients and more than 50% increment of intravaginal pressure was 71%. CONCLUSIONS: Combined biofeedback and pelvic floor electrical stimulation by use of Kontinence HMT2000 is effective for the patients who have good compliance, relative low degree stress urinary incontinence. In order to attain good results, a well structured program that teaches specific muscle exercise and the patients should be followed by regular interval reinforcement treatment.

Citations

Citations to this article as recorded by

Effects of Electric Stimulation and Biofeedback for Pelvic Floor Muscle Exercise in Women with Vaginal Rejuvenation Women
Jung Bok Lee, So Young Choi
Journal of Korean Academy of Nursing.2015; 45(5): 713. CrossRef

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