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Urinary incontinence and prostate cancer: a progressive rehabilitation program design
Bernat-Carles Ferrer Serdà1, Rafael Marcos-Gragera
1Departament d'Infermeria, Universitat de Girona, Girona, Spain.
Purpose:
To design and implement a rehabilitation program based on pelvic floor muscle training (PFMT) to improve the urinary incontinence (UI).
Methods:
This study is based on a randomized clinical trial. The sample was formed by 66 participants with prostate cancer. The intervention groups were randomized into an experimental group (EG) and a control group (CG). The variables studied are: waist perimeter, variables related to the evolution of UI, muscular strength, and quality of life (QoL). Measurements were taken in order to evaluate changes in both groups. A statistical analysis was conducted using the Student-Fisher t-test, the Mann-Whitney-Wilcoxon test, and the chi-square test.
Findings/Conclusions:
After 24 weeks an improvement was identified in the EG compared with the CG, in waist perimeter (p≤.001), variables related to the UI symptom, intensity, frequency, difficulty and limitation of activity (p≤.0001). A correlation between UI and QoL was observed (p=.039).
Clinical Relevance:
The improvement in QoL is mediated indirectly by the improvement in the UI symptom.
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