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Related Experiment Videos

Behavioral training for post-prostatectomy urinary incontinence.

K L Burgio1, R E Stutzman, B T Engel

  • 1Laboratory of Behavioral Sciences, National Institute on Aging, Baltimore, Maryland.

The Journal of Urology
|February 1, 1989
PubMed
Summary
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Biofeedback training effectively reduces post-prostatectomy incontinence for urge and stress types. This method shows limited success for patients with continual leakage post-surgery.

Area of Science:

  • Urology
  • Rehabilitation Medicine

Background:

  • Post-prostatectomy incontinence affects a significant number of men.
  • Existing treatments may not fully address all types of urinary incontinence.

Purpose of the Study:

  • To evaluate the efficacy of biofeedback-assisted behavioral training for persistent post-prostatectomy incontinence.
  • To assess the impact of biofeedback on urge, stress, and continual leakage types.

Main Methods:

  • 20 men with persistent post-prostatectomy incontinence underwent biofeedback training.
  • Training involved scheduled voiding, sphincter control exercises, and urgency management strategies.
  • Patients practiced individualized home programs alongside clinic sessions.

Main Results:

Related Experiment Videos

  • Significant reductions in urge incontinence (80.7%) and stress incontinence (78.3%) were observed.
  • Initial voiding schedules worsened urge incontinence but improved stress incontinence.
  • Biofeedback showed limited improvement (17.0%) for continual leakage.

Conclusions:

  • Biofeedback training is effective for episodic stress or urge incontinence following prostatectomy.
  • The intervention's effectiveness is limited in cases of continual postoperative leakage.