Ceresoli A, Zanetti G, Trinchieri A, Seveso M, Del Nero A, Meligrana C, Serrago M, Pisani E
Istituto di Urologia di Milano.
Arch Ital Urol Androl. 1995 Jun;67(3):207-10.
22 pts treated by radical perineal prostatectomy have been submitted to pelvic floor training soon after catheter removal, in order to assess faster continence reappraisal than that normally described in literature. 18 pts resulted dry within 4 months from surgical care. 2 pts resulted with stabilized mild stress incontinence due to daytime activity within 6 months from prostatectomy. 2 pts complained strong stress urinary incontinence over a period of more 9 months from surgery, but none resulted affected from continuous leakage. In this pts we observed a maximum time of continence reappraisal of 6 months with a minimum of 1 and an average of 4. An high perineal test has been found statistically correlated in the first three months from surgery with nocturnal continence reappraisal and the begging of diurnal micturion events (p < 0.005). Pelvic floor exercises has been found useful in the treatment of post radical perineal prostatectomy stress urinary incontinence.
22例行根治性会阴前列腺切除术的患者在拔除导尿管后不久即接受盆底训练，以评估比文献中通常描述的更快恢复控尿的情况。18例患者在术后4个月内实现干爽。2例患者在前列腺切除术后6个月内，因日间活动出现轻度压力性尿失禁且病情稳定。2例患者在术后9个月以上抱怨有严重的压力性尿失禁，但均未出现持续性漏尿。在这些患者中，我们观察到控尿恢复的最长时间为6个月，最短为1个月，平均为4个月。在前三个月的术后，发现高会阴测试与夜间控尿恢复和日间排尿事件开始具有统计学相关性（p < 0.005）。已发现盆底肌锻炼对治疗根治性会阴前列腺切除术后的压力性尿失禁有用。
