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Pelvic floor re-education reduced incontinence 1 year after radical prostatectomy

https://doi.org/10.1136/ebn.3.4.122

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    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.Lancet2000 Jan 8;355::98–102OpenUrlCrossRefPubMedWeb of Science

    QUESTION: Does pelvic floor re-education reduce the duration and degree of urinary incontinence after radical prostatectomy for prostate cancer?

    Design

    Randomised, (unclear allocation concealment), blinded (patients and outcome assessors), controlled trial with follow up to 1 year.

    Setting

    A university hospital in KU Leuven, Belgium.

    Patients

    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%.

    Intervention

    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 …

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    Footnotes

    • Source of funding: Fund of Scientific Research, Flanders, Belgium.

    • For correspondence: Dr M Van Kampen, Department of Physiotherapy, Faculty of Education and Physiotherapy, University Hospital, KU Leuven, Belgium. Fax +32 16 346866.

    • Abstract also appears in Evidence-Based Medicine.