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Related Concept Videos

Muscles of the Pelvic Floor and Perineum01:26

Muscles of the Pelvic Floor and Perineum

The muscles of the pelvic floor and perineum are crucial for supporting the pelvic organs, controlling continence, and aiding in sexual function, childbirth, and core stability. They are typically divided into the superficial perineal layer and the deep pelvic floor layer.
Perineal Layer
The perineum is a diamond-shaped area below the pelvic diaphragm, divided into an anterior urogenital triangle that contains the external genitals and a posterior anal triangle housing the anus. The urogenital...

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Physiotherapy for continence and muscle function in prostatectomy: a randomised controlled trial.

Mifuka Ouchi1, Takeya Kitta2, Hiroki Chiba3

  • 1Department of Renal and Genitourinary Surgery, Graduate School of Medicine, Hokkaido University, Sapporo, Hokkaido, Japan.

BJU International
|April 24, 2024
PubMed
Summary

Supervised pelvic floor muscle training (PFMT) significantly improves urinary incontinence and pelvic floor muscle function after robot-assisted radical prostatectomy (RARP). This training enhances recovery, aiding men in regaining continence post-surgery.

Keywords:
continenceintra‐anal manometrypelvic floor muscle functionpelvic floor muscle trainingphysiotherapyrandomised controlled trialrobot‐assisted laparoscopic radical prostatectomyurinary incontinence

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Area of Science:

  • Urology
  • Pelvic Health
  • Surgical Recovery

Background:

  • Robot-assisted laparoscopic radical prostatectomy (RARP) can lead to urinary incontinence (UI) and impaired pelvic floor muscle (PFM) function.
  • Effective strategies are needed to improve postoperative recovery and quality of life for patients undergoing RARP.

Purpose of the Study:

  • To evaluate the effectiveness of supervised pelvic floor muscle training (PFMT) on continence and PFM function recovery after RARP.
  • To compare outcomes between patients receiving pre- and postoperative PFMT and those receiving standard advice.

Main Methods:

  • A single-blind randomized controlled trial was conducted with 54 male patients undergoing RARP.
  • The intervention group underwent supervised PFMT pre- and post-surgery, while the control group received standard advice.
  • Primary outcome was 24-h pad weight at 3 months; secondary outcomes included continence status, PFM function, and EPIC scores.

Main Results:

  • Supervised PFMT significantly reduced 24-h pad weight at 3 months post-RARP (5.0g vs 21.0g, P=0.022).
  • Continence rates were significantly higher in the PFMT group at 12 months (65.2% vs 31.6%, P=0.030).
  • Improved PFM function, including peak and sustained contraction, was observed in the intervention group.

Conclusions:

  • Supervised PFMT is effective in improving postoperative urinary incontinence and pelvic floor muscle function following RARP.
  • PFMT aids in the recovery of continence and muscle function, enhancing patient outcomes after prostatectomy.