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. 2021 Jun 30;10(13):2946.
doi: 10.3390/jcm10132946.

Randomized-Controlled Trial Examining the Effect of Pelvic Floor Muscle Training in the Treatment of Stress Urinary Incontinence in Men after a Laparoscopic Radical Prostatectomy Pilot Study

Katarzyna Strojek  1 , Magdalena Weber-Rajek  1 , Agnieszka Strączyńska  1 , Zuzanna Piekorz  1 , Beata Pilarska  2   3 , Piotr Jarzemski  2   3 , Mariusz Kozakiewicz  4 , Bartosz Brzoszczyk  3 , Marcin Jarzemski  3 , Hanna Styczyńska  1 , Aleksander Goch  1 , Agnieszka Radzimińska  1
Affiliations

Randomized-Controlled Trial Examining the Effect of Pelvic Floor Muscle Training in the Treatment of Stress Urinary Incontinence in Men after a Laparoscopic Radical Prostatectomy Pilot Study

Katarzyna Strojek et al. J Clin Med. .

Abstract

Aim: The aim of this study was to assess the impact of pelvic floor muscle training (PMFT) in the treatment of stress urinary incontinence (SUI) in men after they received radical prostatectomy (RP).

Methods: From November 2018 to September 2019, patients who underwent radical prostatectomy were assessed for eligibility. A total of 37 men were then randomly assigned to the experimental group (EG) and the control group (CG). The EG group received supervised exercise twice a week for 12 weeks, and the CG did not receive any intervention. To objectify the results obtained in both groups before and after the intervention, the authors assessed myostatin concentration. Moreover, the Expanded Prostate Cancer Index Composite (EPIC-26) was applied to assess the quality of life, and Beck's Depression Inventory (BDI-II) was used to measure depression severity.

Results: Study results demonstrated a statistically significant reduction of myostatin concentration in the EG following the treatment and no statistically significant differences in this parameter in the CG. In addition, a comparison of the EPIC-26 scores in the EG at the initial and final assessments revealed a statistically significant improvement in the quality of life in each domain. A comparison of the EPIC-26 scores in the CG at the initial and final assessments showed there is a statistically significant decline in quality of life in the "overall urinary problem" and "sexual" domain. A comparison of the BDI-II scores at the initial and final assessments showed a statistically significant decline in depressive symptoms in the EG and no statistically significant differences in the CG.

Conclusions: PFMT is an effective treatment for urinary incontinence (UI) in men who received radical prostatectomy.

Keywords: pelvic floor muscle training; radical prostatectomy; urinary incontinence.

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Conflict of interest statement

The authors report no conflict of interest in this work.

Figures

Figure 1
Figure 1
The study flow diagram. EG: experimental group; CG: control group; EPIC-26: Expanded Prostate Cancer Index Composite; BDI -II: Beck’s Depression Inventory; PFMT: pelvic floor muscle training.
See this image and copyright information in PMC

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