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Urinary Incontinence and Prostate Cancer: A Progressive Rehabilitation Program Design

Authors

  • Bernat-Carles Ferrer Serdà PhD,

    Professor, Corresponding author
    1. Departament d'Infermeria, Universitat de Girona, Girona, Spain
    • Correspondence

      Serdà Ferrer, Bernat-Carles, PhD, Professor, Departament d'Infermeria, Universitat de Girona, C/Emili Grahit núm 77, Girona 17071, Spain.

      E-mail: bernat.serda@udg.edu

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  • Rafael Marcos-Gragera

    1. Epidemiology Unit and Girona Cancer Registry, Pla director d'Oncologia, Girona, Spain
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Abstract

Purpose

To design and implement a rehabilitation program based on pelvic floor muscle training (PFMT) to improve the urinary incontinence (UI).

Methods

This study is based on a randomized clinical trial. The sample was formed by 66 participants with prostate cancer. The intervention groups were randomized into an experimental group (EG) and a control group (CG). The variables studied are: waist perimeter, variables related to the evolution of UI, muscular strength, and quality of life (QoL). Measurements were taken in order to evaluate changes in both groups. A statistical analysis was conducted using the Student–Fisher t-test, the Mann–Whitney–Wilcoxon test, and the chi-square test.

Findings/Conclusions

After 24 weeks an improvement was identified in the EG compared with the CG, in waist perimeter (p≤.001), variables related to the UI symptom, intensity, frequency, difficulty and limitation of activity (p≤.0001). A correlation between UI and QoL was observed (p=.039).

Clinical relevance

The improvement in QoL is mediated indirectly by the improvement in the UI symptom.

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