The studies of Wolin et al. and Li et al. confirmed that obesity and age are 2 important
factors affecting post-prostatectomy incontinence (PPI).
1
,2
We speculate that younger patients may recover from PPI faster. Younger patients
(<70 years) have better muscle compliance of contraction and relaxation, which makes
neural recruitment of the target muscle easier.
2
Moreover, obesity may increase abdominal pressure, which further increases the contractive
burden of pelvic floor muscles.
1
We hypothesize that patients with higher BMI may be associated with slower recovery
rate of PPI. As more patients being recruited in our study, we will compare the recovery
rates of PPI in different age, and BMI groups in the future.To read this article in full you will need to make a payment
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Reference
- Risk of urinary incontinence following prostatectomy: the role of physical activity and obesity.J Urol. 2010; 183: 629-633
- Urinary continence outcomes of four years of follow-up and predictors of early and late urinary continence in patients undergoing robot-assisted radical prostatectomy.BMC Urol. 2020; 20: 29
- Using the vibrance kegel device with pelvic floor muscle exercise for stress urinary incontinence: a randomized controlled pilot study.Urology. 2015; 86: 487-491
- Pelvic floor muscle training in males: practical applications.Urology. 2014; 84: 1-7
- Urodynamic quantification of decrease in sphincter function after radical prostatectomy: relation to postoperative continence status and the effect of intensive pelvic floor muscle exercises.Neurourol Urodyn. 2012; 31: 646-651
- Pelvic floor muscle training is effective in treatment of female stress urinary incontinence, but how does it work?.Int Urogynecol J Pelvic Floor Dysfunct. 2004; 15: 76-84
- Physical activity and survival after prostate cancer diagnosis in the health professionals follow-up study.J Clin Oncol. 2011; 29: 726-732
Article info
Publication history
Accepted:
April 30,
2021
Received:
December 25,
2020
Identification
Copyright
© 2021 Published by Elsevier Inc.
