| ORIGINAL ARTICLE |
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| Year : 2023 | Volume
: 34
| Issue : 1 | Page : 39-45 |
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Effects of early pelvic floor muscle training on early recovery of urinary incontinence after prostate surgery
Yi-Hsuan Chen1, Yung-Shun Juan2, Wei-Chi Wei1, Jiun-Hung Geng3, Kuang-Shun Chueh4, Hsiang-Ying Lee2
1 Department of Urology, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung, Taiwan
2 Department of Urology, Kaohsiung Municipal Ta-Tung Hospital; Department of Urology, Kaohsiung Medical University Hospital; Department of Urology, School of Medicine, College of Medicine, Kaohsiung Medical University; Graduate Institute of Clinical Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
3 Department of Urology, Kaohsiung Municipal Siaogang Hospital, Kaohsiung, Taiwan
4 Department of Urology, Kaohsiung Municipal Ta-Tung Hospital; Graduate Institute of Clinical Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
Correspondence Address:
Dr. Hsiang-Ying Lee
No. 100, Shih-Chuan 1st Road, Sanmin District, Kaohsiung 80708
Taiwan
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/UROS.UROS_59_22
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Purpose: Postprostate surgeries urinary incontinence (UI) is one of the common bothersome complications of prostate surgery. Pelvic floor muscle exercises (PFME) have been reported to have benefits in shortening postoperative recovery time of UI. The aim of our study is to evaluate the efficacy of intensive schedule of PFME and pelvic muscle electrical stimulation in improving the recovery of postoperative UI. Materials and Methods: We prospectively enrolled 72 patients (63 Benign prostate hyperplasia [BPH] and 9 prostate cancer [PC]) who received transurethral resection of the prostate (TURP), anatomical endoscopic enucleation of the prostate (AEEP), Radical prostatectomy (RP) from January 2019 to December 2020. Twenty-seven patients who are unable to remove Foley catheter before discharge or loss follow-up were excluded. Finally, we enrolled 44 patients (35 BPH and 9 PC). All patients were assessed using the pad test, International Prostate Symptom Score, and Overactive Bladder Symptom Score. Abdominal ultrasonography or transrectal ultrasound of prostate was used to measure prostate volume and the postvoid residual urine volume. Results: The rate of UI was 60% and 88.9% immediately after removing the Foley catheter in TURP/AEEP and RP groups respectively. The incontinence rates in TURP/AEEP were 34.2%, 20%, and 3% after 2 weeks, 1 month, and 3 months' postoperation. In the RP group, the incontinence rate was 55.6%, 44.4% after 2 weeks, and 1 month postoperation. The pad amount was 63.11 ± 52.9 g, 37.89 ± 52.99 g, and 13.22 ± 18.48 g after 2 weeks, 1 month, and 3 months' postoperation. Conclusion: We demonstrated early intensive PFME program can shorten the recovery time of UI after prostate surgery.
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