[Randomized study on urinary continence after radical prostatectomy with previous kinesic perineal physiotherapy]

Area of Science:

• Urology
• Rehabilitation Medicine
• Pelvic Floor Physical Therapy

Context:

• Urinary incontinence is a common complication following radical prostatectomy (RP).
• Preoperative interventions are being explored to mitigate post-surgical incontinence.
• Perineal kinetic physiotherapy is a potential preventive treatment.

Purpose:

• To evaluate the effectiveness of preoperative perineal kinetic physiotherapy on early urinary continence recovery after radical prostatectomy.
• To determine if preoperative exercises influence the rate or appearance of urinary continence post-RP.

Summary:

• A randomized controlled trial involving 38 patients undergoing radical prostatectomy compared preoperative kinetic physiotherapy (K group, n=19) with a control group (NK group, n=19).
• Urinary continence was assessed at 14, 30, and 60 days post-catheter removal.
• No significant differences in epidemiological or tumor biology were noted between groups. Continence rates at 14, 30, and 60 days were similar (e.g., 47.36% vs. 47.36% at 14 days; 78.9% vs. 89.4% at 60 days, p > 0.05).

Impact:

• Preoperative kinesic perineal exercises did not demonstrate a significant benefit in accelerating urinary continence recovery after radical prostatectomy.
• The findings suggest that this specific physiotherapy intervention may not be effective for improving early continence outcomes in RP patients.
• Further research may be needed to explore alternative or modified preoperative strategies for managing post-prostatectomy incontinence.