The Effects of Pilates in Muscle Strength of the Pelvic Floor as Treatment of Post Prostatectomy Urinary Incontinence

Universidade Estadual de Londrina

Status: Completed

Conditions: Prostate Cancer; Urinary Incontinence

Treatments: Other: PFMT and AES; Other: Pilates; Other: Control

Study type: Interventional

Funder types: Other

Identifiers

NCT02645136

820.529

Details and patient eligibility

About

The purpose of this study is to compare the efficacy between a Pilates exercise program and a Pelvic Floor Muscle Training (PFMT) protocol combined with anal electrical stimulation (AES) in muscular pressure strength of the pelvic floor as conservative treatment of urinary incontinence after prostatectomy.

Full description

This randomized clinical trial includes 115 individuals with urinary incontinence one month after radical prostatectomy. One physiotherapist, with experience in urogynecology, was responsible for all the assessments. muscular pressure strength of the pelvic floor, 24-hour pad test and the International Consultation on Incontinence Questionnaire - Short Form (ICIQ-SF) were the variables evaluated.

The subjects were allocated in one of three treatment groups (G1: Pilates; G2: anal electrical stimulation combined with pelvic floor muscle training and G3: Control Group).

Enrollment: 115 patients

Sex: Male

Ages: 50 to 75 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Volunteers between 50 and 75 years old;
• Submitted to radical prostatectomy;
• With complaints of urinary incontinence;
• That completed one month of surgery;

Exclusion criteria

• History of incontinence;
• Transurethral resection of the prostate;
• Diagnosis of neurological or cognitive impairment;
• Subjects who were unable to attend treatment sessions, due to distance or physical limitations.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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115 participants in 3 patient groups, including a placebo group

PILATES

Experimental group

Description:

Weekly Pilates sessions, guided by a specialized physiotherapist. The duration of the treatment was 10 weeks, and each session lasted 45 to 50 minutes. All subjects received instruction to perform specific daily home exercises.

Treatment:

Other: Pilates

PFMT and AES

Active Comparator group

Description:

For also 10 weeks, the participants went trough anal electrical stimulation (AES) associated with Pelvic Floor Muscle Training (PFMT), supervised by a specialized physiotherapist. All subjects received orientation to perform the same pelvic floor exercises at home.

Treatment:

Other: PFMT and AES

Control

Placebo Comparator group

Description:

Control Group

Treatment:

Other: Control