The Effectiveness of Pelvic Floor Muscle Training in Men after Radical Prostatectomy Measured with the Insert Test

Dorota Szczygielska, Andrzej Knapik, Teresa Pop, Jerzy Rottermund and Edward Saulicz
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Dorota Szczygielska: College of Medical Sciences, Institute of Health Sciences, University of Rzeszow, ul. Warzywna 1a, 35-310 Rzeszów, Poland
Andrzej Knapik: Department of Adapted Physical Activity and Sport, School of Health Sciences in Katowice, Medical University of Silesia in Katowice, ul. Medyków 12, 40-751 Katowice, Poland
Teresa Pop: College of Medical Sciences, Institute of Health Sciences, University of Rzeszow, ul. Warzywna 1a, 35-310 Rzeszów, Poland
Jerzy Rottermund: Health and Social Work, St. Elizabeth University, Namestie 1, maja 1, 811 02 Bratislava, Slovakia
Edward Saulicz: Department of Kinesiotherapy and Special Methods in Physiotherapy, The Jerzy Kukuczka Academy of Physical Education, ul. Mikołowska 72a, 40-065 Katowice, Poland

IJERPH, 2022, vol. 19, issue 5, 1-9

Abstract: A commonly used physiotherapeutic method for the treatment of urinary incontinence (UI) after radical prostatectomy (RP) is pelvic floor muscle training (PFMT). The aim of this study was to evaluate the effectiveness of PFMT by enhanced biofeedback using the 1h pad-weighing test. The following factors were taken into consideration in the analysis of PFMT effectiveness: the relevance of the patients’ age, time from RP, BMI, mental health, functional state, and depression. A total of 60 post-RP patients who underwent 10-week PFMT were studied. They were divided into groups: A ( n = 20) and B ( n = 20) (random division, time from RP: 2–6 weeks) and group C (time from RP > 6 weeks). Group B had enhanced training using EMG biofeedback. UI improved in all groups: A, p = 0.0000; B, p = 0.0000; and C, p = 0.0001. After the completion of PFMT, complete control over miction was achieved by 60% of the patients in group A, 85% in group B, and 45% in group C. There was no correlation between the results of PFMT efficacy and patients’ age, BMI, time from RP, mental health, functional state, and depression. PFMT is highly effective in UI treatment. The enhancement of PFMT by EMG biofeedback seems to increase the effectiveness of the therapy.

Keywords: urinary incontinence; radical prostatectomy; pelvic floor muscle training; 1 h pad weighing test (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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