Reducing Urine Leakage After Radical Retropubic Prostatectomy: Pelvic Floor Exercises, Magnetic Innervation or No Treatment? A Quasi-Experimental Study
Version of Record online: 8 MAY 2013
© 2013 Association of Rehabilitation Nurses
Volume 38, Issue 3, pages 153–160, May/June 2013
How to Cite
Terzoni, S., Montanari, E., Mora, C., Ricci, C. and Destrebecq, A. (2013), Reducing Urine Leakage After Radical Retropubic Prostatectomy: Pelvic Floor Exercises, Magnetic Innervation or No Treatment? A Quasi-Experimental Study. Rehabilitation Nursing, 38: 153–160. doi: 10.1002/rnj.72
- Issue online: 8 MAY 2013
- Version of Record online: 8 MAY 2013
- Manuscript Accepted: 26 JUN 2012
- quantitative research;
In Italy, nurses can use pelvic floor muscle exercises (PFMEs) and extracorporeal magnetic innervation (ExMI) to treat urinary incontinence after radical retropubic prostatectomy (RRP). The efficacy of these treatments remains unclear.
Purpose: To compare PFMEs, ExMI, in the management of post-RRP urinary incontinence.
Methodology: This study compared PFMEs versus no treatment in reducing bladder continence difficulties, and PFMEs versus ExMI in reducing urine leakage. A total of 87 patients were treated with PFMEs, 23 with ExMI; 22 refused rehabilitation (control group).
Three months after RRP, both interventions reduced the International Prostate Symptom Score, when compared to control group. After 6 months, no significant differences between the treatments were found (p = .8346). After a complete ExMI treatment (6 weeks), 63.88% lost less than 10 grams of urine per day (32.73% in the PFMEs group, p < .0001).
PFMEs are useful up to the 3rd month after surgery; ExMI reduces leakages faster than PFMEs.