Prevention of Urinary Incontinence After Prostatectomy

University Hospital Maggiore della Carità of Novara

Status: Unknown

Conditions: Urinary Incontinence

Treatments: Procedure: BioFeedback; Functional Electrical Stimulation; Pelvic Floor Muscle training exercises

Study type: Interventional

Funder types: Other

Identifiers

NCT00982098

NO08974

Details and patient eligibility

About

Urinary incontinence is a frequent complication after radical prostatectomy. Rehabilitative treatments are frequently utilized to reduce incontinence. However, their efficacy has not been completely investigated. In this study the investigators will compare the effect of an early rehabilitation programme (instruction of the patient, pelvic floor muscle training, electrical stimulation and biofeedback) versus instruction of the patient only.

The investigators hypothesis is that early rehabilitation programme is more effective than patient's instruction alone in preventing urinary incontinence after radical prostatectomy.

Enrollment: 110 patients

Sex: Male

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• men who will undergo radical prostatectomy for prostatic cancer

Exclusion criteria

• previous urinary and/or faecal incontinence
• neurologic bladder
• previous pelvic surgery

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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110 participants in 2 patient groups

Early Rehabilitation

Experimental group

Description:

Before surgery: 15 minutes pelvic floor muscle training and 15 minutes biofeedback, for 4 sessions. After surgery: physical therapist's assisted pelvic floor muscle biofeedback (15 min/day for 10 days), followed by patient's instruction for pelvic floor muscle training and home based exercised pelvic floor muscle for 10 days. Then pelvic floor muscle biofeedback (15 min/day for 10 days) and functional electrical stimulation of pelvic floor (30 min/day for 10 days). Patients will be instructed to carry on exercises at home for the following 11 months.

Treatment:

Procedure: BioFeedback; Functional Electrical Stimulation; Pelvic Floor Muscle training exercises

Counseling and home-based exercises

No Intervention group

Description:

Before surgery: 15 minutes pelvic floor muscle training and 15 minutes biofeedback, for 4 sessions. After surgery: Patients will be instructed to carry on pelvic floor exercises at home for the year after prostatectomy.