Abstract
Objective
To verify the effect of Pilates training combined with biofeedback training, Kegel
training combined with biofeedback training, and Kegel training alone on post-prostatectomy
incontinence in male patients.
Material and methods
Forty-two patients were randomly divided into 3 groups. The changes occurring to the
3 groups before and after treatment and the differences between the 3 groups were
assessed using a 1-hour pad test, number of incontinent episodes, the ICIQ questionnaire,
and the Oxford Grading Scale. The 3 groups were required to undergo daily training
for an 8-week period.
Results
At 8 weeks, groups A, B and C experienced a 34.3%, 61.9%, and 67% improvement in the
1-hour pad test, respectively, and 32.1%, 52.9%, and 58.8% reduction in the number
of urinary incontinence episodes, respectively, and a 29.4%, 50%, and 64.7% reduction
in the ICIQ Scale, respectively, and a 33.3%, 50%, and 50% in Oxford Grading Scale
improvement, respectively. The graph results showed that the effect was noted after
3 weeks of treatment and a significant effect occurred by the eighth week of treatment.
Conclusion
Three methods were shown to optimize urinary continence and pelvic floor muscle strength
of patients with post-prostatectomy incontinence. The treatment effect of group C
was better than group B, but there was no statistically significant difference in
the 1-hour pad tests. It is particularly important to understand the time sensitivity
for patient training.
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Article info
Publication history
Published online: June 25, 2021
Accepted:
April 30,
2021
Received:
December 25,
2020
Footnotes
Financial Disclosure: This study was supported by the project fund of China Rehabilitation Research Center.
Identification
Copyright
© 2021 Elsevier Inc. All rights reserved.
