Early recovery of urinary continence after radical prostatectomy using early pelvic floor electrical stimulation and biofeedback associated treatment.

Mariotti G, Sciarra A, Gentilucci A, Salciccia S, Alfarone A, Pierro GD, Gentile V

This study analyzed the benefit of the early combined use of functional pelvic floor electrical stimulation and biofeedback in terms of time to recovery and rate of continence after radical prostatectomy. 60 consecutive patients who underwent radical prostatectomy were prospectively randomized to a treatment group (group 1) vs a control group (group 2). In group 1 a program of pelvic floor electrical stimulation plus biofeedback began 7 days after catheter removal, twice a week for 6 weeks. The mean leakage weight became significantly lower in group 1 than in group 2 starting at 4 weeks until 6 months of followup. A significant difference between groups 1 and 2 in terms of percentage of continent patients was achieved from 4 weeks  to 6 months.

Early, noninvasive physical treatment with biofeedback and pelvic floor electrical stimulation has a significant positive impact on the early recovery of urinary continence after radical prostatectomy.

Journal of Urology, 2009, 181(4), 1788-93

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