Postradical prostatectomv urinary incontinence is assessed at 20-25% (first 3 months) and 5% (after 12 months). Our experience shows incontinence in almost all patients after removal of the catheter (one month following surgery) that tends to dwindle over 1-12 months with uro-rehabilitative treatments. MATERIAL AND METHODS: 62 patients (average of 68 years vere divided in 3 groups according to the incontinence degree: slight (group A 26 patients), moderate (Group B, 28) severe (group C, 8). Group B and C showed significant reduction in length functioning and urethral closing pressure if compared to group A. 20 patients (15-B, 5-C) presented detrusor instability. 30 patients (10-A, 15-B, 5-C) Were submitted to 20-session rehabilitative programmes: 20 minutes daily sessions of biofeedback and or functional electrostimulation combined with physiokinesitherapy. 32 patients vere untreated. RESULTS: after rehabilitation: 20/25 (group A-B) had a complete recovery of continence (follow-up of 6 months), urodynamic tests showed urethral closing highest pressure increase and improvement of detrusor pressure. 5/25 patients had bladder instability. 3/5 (group C) had improvement in continence. 23/30 patients treated achieved complete continence against 21/32 of the untreated group. After 12 months of follow- up such clinical and urodynamic differences had disappeared. DISCUSSION: incontinence following radical prostatectomv is due to: sphyncterial hypotonia, urethral lenght or functioning reduction associated to detrusorial instability. Patients with slight-moderate physical stress incontinence show best results after rehabilitation. Patients with mixed type of incontinence can benefit using biofeedback. Perineal rehabilitation basicallv speeds up the recovery of continence in patients without irreversible sphyncterial function damage.

URINARY INCONTINENCE FOLLOWING RADICAL RETROPUBIC PROSTATECTOMY: CLINICAL EVALUATION AND MANAGEMENT / M. Dicuio; C. Traversi; S. Pampaloni; N. Fontana; M. Notaro; G. Morelli; A. Minervini; R.Minervini.. - STAMPA. - Atti VIth International Meeting of the EuropeanSociety of Residents in Urology ( ESRU):(1999), pp. 28-28. (Intervento presentato al convegno VI International Meeting ESRU and XIV Congess EAU tenutosi a Stoccolma nel 7 aprile).

URINARY INCONTINENCE FOLLOWING RADICAL RETROPUBIC PROSTATECTOMY: CLINICAL EVALUATION AND MANAGEMENT.

MINERVINI, ANDREA;
1999

Abstract

Postradical prostatectomv urinary incontinence is assessed at 20-25% (first 3 months) and 5% (after 12 months). Our experience shows incontinence in almost all patients after removal of the catheter (one month following surgery) that tends to dwindle over 1-12 months with uro-rehabilitative treatments. MATERIAL AND METHODS: 62 patients (average of 68 years vere divided in 3 groups according to the incontinence degree: slight (group A 26 patients), moderate (Group B, 28) severe (group C, 8). Group B and C showed significant reduction in length functioning and urethral closing pressure if compared to group A. 20 patients (15-B, 5-C) presented detrusor instability. 30 patients (10-A, 15-B, 5-C) Were submitted to 20-session rehabilitative programmes: 20 minutes daily sessions of biofeedback and or functional electrostimulation combined with physiokinesitherapy. 32 patients vere untreated. RESULTS: after rehabilitation: 20/25 (group A-B) had a complete recovery of continence (follow-up of 6 months), urodynamic tests showed urethral closing highest pressure increase and improvement of detrusor pressure. 5/25 patients had bladder instability. 3/5 (group C) had improvement in continence. 23/30 patients treated achieved complete continence against 21/32 of the untreated group. After 12 months of follow- up such clinical and urodynamic differences had disappeared. DISCUSSION: incontinence following radical prostatectomv is due to: sphyncterial hypotonia, urethral lenght or functioning reduction associated to detrusorial instability. Patients with slight-moderate physical stress incontinence show best results after rehabilitation. Patients with mixed type of incontinence can benefit using biofeedback. Perineal rehabilitation basicallv speeds up the recovery of continence in patients without irreversible sphyncterial function damage.
1999
Atti VI International Meeting ESRU and XIV EAU Congress
VI International Meeting ESRU and XIV Congess EAU
Stoccolma
M. Dicuio; C. Traversi; S. Pampaloni; N. Fontana; M. Notaro; G. Morelli; A. Minervini; R.Minervini.
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Utilizza questo identificatore per citare o creare un link a questa risorsa: https://hdl.handle.net/2158/680927
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