Department of Urology, Alma Mater Studiorum University of Bologna, 40100 Bologna, Italy.
Anticancer Res. 2010 Feb;30(2):553-6.
radical prostatectomy (RP) is affected by urinary incontinence (UI) that, even if temporary, can severely impact patients quality of life. We investigated if a post surgery tutored and personal trained pelvic floor re-educational program improves continence recovery more than pelvic floor exercises performed by patients on their own.
332 incontinent (>1 pad/daily) patients (pts) submitted to RP between 2006 and 2008 were prospectively randomized in group A (166 pts) and group B (166 pts). The first group performed an intensive tutored pelvic training program and the second formed the control group. The follow-up was at one year and the self report of recovery of continence was measured every 3, 6 and 12 months.
the median time of continence recovery in group A was 44+/-2 days, while in group B it was 76+/-4 days. Patients enrolled in the pelvic floor re-educational dedicated program (group A) achieved continence earlier than the control group (group B). In fact, the number of incontinent patients at the different follow-up intervals was higher for the control group than for the treatment group.
We have demonstrated that a post RP personal training program of pelvic muscle re-education supported by a physician and nurses expert in continence disorders have a benefit in future continence.
根治性前列腺切除术（RP）受尿失禁（UI）影响，即使是暂时性的，也会严重影响患者的生活质量。我们研究了手术后由医生和护士指导的个性化盆底再教育训练项目是否比患者自行进行的盆底锻炼更能促进控尿功能的恢复。
332 名（>1 片/天）有尿失禁症状的 RP 术后患者（pts）前瞻性随机分为 A 组（166 pts）和 B 组（166 pts）。A 组进行强化指导盆底训练项目，B 组为对照组。随访时间为 1 年，控尿恢复情况的自我报告测量时间为 3、6 和 12 个月。
A 组的中位控尿恢复时间为 44+/-2 天，B 组为 76+/-4 天。参加专门的盆底再教育训练计划（A 组）的患者比对照组（B 组）更早恢复控尿。事实上，在不同的随访间隔，对照组的失禁患者数量高于治疗组。
我们已经证明，在医生和护士的支持下，对 RP 术后患者进行个性化的盆底肌肉再教育训练，有助于提高患者的控尿功能。
