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Related Experiment Videos

Post-prostatectomy urinary incontinence: response to behavioral training.

J P Meaglia1, A C Joseph, M Chang

  • 1Division of Urology, University of California, San Diego.

The Journal of Urology
|September 1, 1990
PubMed
Summary

Post-prostatectomy urinary incontinence can be significantly improved with a structured behavioral training program. This approach, focusing on perineal exercises and support, showed a 56.6% reduction in incontinent episodes for eligible patients.

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Area of Science:

  • Urology
  • Rehabilitation Medicine

Background:

  • Urinary incontinence is a common and distressing complication following prostatectomy.
  • It significantly impacts patients' psychological and social well-being.

Purpose of the Study:

  • To evaluate the effectiveness of a bladder behavior clinic program for managing post-prostatectomy urinary incontinence.
  • To assess patient improvement through behavioral interventions without pharmaceutical agents.

Main Methods:

  • A review of 27 patients experiencing incontinence 5-198 months post-prostatectomy.
  • Implementation of a bladder behavior clinic with nursing staff and physician supervision.
  • Focus on discontinuing incontinence devices, detailed perineal exercise training, and frequent patient evaluations for compliance.

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Main Results:

  • Overall improvement in incontinent episodes was 56.6% (p < 0.001) among 24 evaluable patients.
  • 8.3% achieved total continence, 42% improved greatly, and 33% showed no change.
  • Patients undergoing transurethral and perineal prostatectomy showed higher improvement rates (74% and 61%) compared to radical retropubic prostatectomy (33%).

Conclusions:

  • A behavioral training program with a strong support system can significantly improve urinary incontinence after prostatectomy.
  • Patients without prior transurethral resection demonstrated more dramatic improvement.
  • This non-pharmacological approach offers a viable solution for managing long-term post-prostatectomy incontinence.