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Single Session Pre-Operative Pelvic Floor Muscle Training With Biofeedback on Urinary Incontinence and Quality of Life After Radical Prostatectomy: A Randomized Controlled Trial Publisher



Khorrami MH1 ; Mohseni A1 ; Gholipour F2 ; Alizadeh F1 ; Zargham M1 ; Izadpanahi MH1 ; Sichani M1 ; Khorrami F3
Authors
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Authors Affiliations
  1. 1. Department of Urology, Isfahan University of Medical Sciences, Isfahan, Iran
  2. 2. Isfahan Kidney Disease Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
  3. 3. Department of Human Biology, University of Toronto, Toronto, ON, Canada

Source: Urological Science Published:2023


Abstract

Purpose: Urinary incontinence (UI) is a common complication of radical prostatectomy (RP) affecting patient's quality of life (QoL). In the present study, we aimed to investigate the effects of single-session preoperative pelvic floor muscle training (PFMT) with biofeedback (BFB) on short- and mid-term postoperative UI and QoL. Materials and Methods: This study was performed between 2018 and 2020. The patients were randomized into two groups: the case group received a training session with BFB, supervised oral and written instructions on pelvic floor muscle exercises in a 1-h-long training session 1 month before the surgery. Patients were asked to regularly perform exercises immediately after the session until surgery. The controls received no instructions. We used the International Consultation on Incontinence Questionnaire-UI (ICIQ-UI) short-form and ICIQ-Lower Urinary Tract Symptoms QoL Module (ICIQ-LUTSqol) at 1, 3, and 6 months after removing the urinary catheter. Results: A total of 80 patients with a mean age of 63.83 ± 3.61 years were analyzed. Patient characteristics were similar between the groups. The mean ICIQ-UI score was significantly lower in the intervention group at 1 and 3 months after catheter removal (P = 0.01 and P = 0.029, respectively) but similar at 6 months (P = 0.058). The mean ICIQ-LUTSqol score was significantly lower in the intervention group at 1, 3, and 6 months after catheter removal (P < 0.001, P = 0.005, and P = 0.011, respectively). Conclusion: A single session of preoperative PFMT with BFB has significant short-term effects on UI after RP but not at 6 months. However, this intervention can improve LUTS-related QoL even at 6 months after catheter removal. © 2023 Wolters Kluwer Medknow Publications. All rights reserved.
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