Acta Scientific Women's Health (ASWH)(ISSN: 2582-3205)

Case Series Volume 5 Issue 6

Case Series: Pelvic Floor Rehabilitation for Urinary Incontinence Post Prostatectomy

Binal Dave*

Department of Women’s Health, India

*Corresponding Author: Binal Dave, Department of Women’s Health, India.

Received: April 03, 2023; Published: May 30, 2023

Abstract

Background: Healthcare professionals involved in the care of men diagnosed with prostate cancer know the importance of providing a holistic plan of care for post prostatectomy patients. There are several case studies that have found it beneficial for adding pelvic floor muscle rehabilitation to post surgery protocols along with other treatments including biofeedback and electrotherapeutic modalities. Few other studies differ their opinion that rehabilitation should begin pre-surgery and continue post-surgery with no therapeutic modalities. Currently, there are limited studies in recommendation for pre and post screening and in addition of the treatment approaches used by healthcare professionals to ensure to improve the quality of life and return of function to the pelvic floor in men who have undergone prostatectomy.

Objective: To measure the effectiveness of pelvic floor muscle rehabilitation in male patients with urinary incontinence post prostatectomy

Design: A review of literature of before-after studies, reviews, prospective and qualitative studies and case series on the effect of pelvic floor muscle rehabilitation for urinary incontinence after prostatectomy

Results: A total of 5 patients were identified for the study. The validity of the trials was moderate to high for a reduction in incontinence from 6 months to 1 year from date of surgery. There was a trend in the reviews for pre-operative and post-operative management using pelvic floor muscle rehabilitation to improve incontinence. The qualitative study showed evidence of the use of behavioral therapy to overcome intrinsic and extrinsic barriers during pelvic floor muscle rehabilitation for improving the outcomes of male urinary incontinence after prostatectomy surgery.

Conclusion: More research is needed for the cases to further show the significance of holistic care utilizing physiotherapy interventions. There is some evidence that both post-operative and early pre- operative pelvic floor rehabilitation is beneficial for better outcomes of the level of male incontinence after prostatectomy.

Limitations: A literature review on the efficacy of physiotherapy on the treatment of post prostatectomy urinary incontinence reveals that physiotherapists have an integrated role as a part of the healthcare team for improving the quality of life of men after prostatectomy. Further research is necessary to validate the efficacy of physiotherapy interventions.

 Keywords: Pelvic Floor; Urinary Incontinence; Prostatectomy; Pelvic Floor Rehabilitation; Pelvic Floor Rehabilitation; Pelvic Floor Biofeedback; Electrical Stimulation

References

  1. AL Siegel. “Pelvic floor muscle training in males: practical applications”. Urology1 (2014): 1-7.
  2. MT Filocamo., et al. “Effectiveness of early pelvic floor rehabilitation treatment for post-prostatectomy incontinence”. European Urology5 (2005): 734-738.
  3. I Nahon., et al. “Assessing muscle function of the male pelvic floor using real time ultrasound”. Neurourology 7 (2011): 1329-1332.
  4. MC Sighinolfi., et al. “Potential effectiveness of pelvic floor rehabilitation treatment for postradical prostatectomy incontinence, climacturia, and erectile dysfunction: a case series”. The Journal of Sexual Medicine12 (2009): 3496-3499.
  5. TA Shamliyan. “Male urinary incontinence: prevalence, risk factors, and preventive interventions”. Review in Urology3 (2009): 145-165.
  6. OM Scott., et al. “Assessment of pelvic floor muscle contraction ability in healthy males following brief verbal instruction”. Australian and New (2013).
  7. K Wente., et al. “Aging and the pelvic floor”. Current Geriatrics Reports3 (2018).
  8. RE Stafford and JA Ashton-Miller. “Novel insight into the dynamics of male pelvic floor contractions through transperineal ultrasound imaging”. The Journal of Urology4 (2012): 1224-1230.
  9. CE Laurienzo., et al. “Pelvic floor muscle training and electrical stimulation as rehabilitation after radical prostatectomy: a randomized controlled trial”. The Journal of Physical Therapy Science 6 (2018): 825-831.
  10. JJ Wyndaele and B Van Eetvelde. “Reproducibility of digital testing of the pelvic floor muscles in men”. Archives of Physical Medicine and Rehabilitation11 (1996): 1179-1181.

Citation

Citation: Binal Dave. “Case Series: Pelvic Floor Rehabilitation for Urinary Incontinence Post Prostatectomy". Acta Scientific Women's Health 5.6 (2023): 28-32.

Copyright

Copyright: © 2023 Binal Dave. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate35%
Acceptance to publication20-30 days

Indexed In





News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is May 30, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.

Contact US