© 2000 Evidence-Based Nursing
Pelvic floor re-education reduced incontinence 1 year after radical prostatectomy
Van Kampen M, De Weerdt W, Van Poppel H, et al.Effect of pelvic-floor re-education on duration and degree of incontinence after radical prostatectomy: a randomised controlled trial.Lancet 2000 Jan 8;355::98–102[Medline]
QUESTION: Does pelvic floor re-education reduce the duration and degree of urinary incontinence after radical prostatectomy for prostate cancer?
Randomised, (unclear allocation concealment), blinded (patients and outcome assessors), controlled trial with follow up to 1 year.
A university hospital in KU Leuven, Belgium.
102 men (mean age 65 y) who had radical retropubic prostatectomy (maintaining pelvic floor structures) for clinically localised prostate cancer, were incontinent 15 days after surgery (after catheter removal), and could regularly attend hospital appointments. Follow up was 96%.
Patient allocation was stratified by previous transurethral resection of the prostate and urine loss 1 day after catheter removal. 50 men were allocated to a pelvic floor re-education programme, which consisted of individual treatment in an outpatient clinic once a week for as long as incontinence persisted, up to 1 year. The training programme included education about the anatomy and function of the bladder and pelvic floor and active pelvic floor muscle (PFM) exercises and biofeedback. After patients learnt to do the exercises, they were instructed to
Associate Professor, School of Nursing McMaster University Director, Collaborative Continence Program St Joseph's Community Health Centre Hamilton, Ontario, Canada
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