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Research Article

JCR. 2020; 7(12): 1500-1503


PELVIC MUSCLE EXERCISES FOR RESTORING URINARY CONTINENCE AFTER RADICAL PROSTATECTOMY

Vagarshak A. Grigoryan, Leonid M. Rapoport, Dmitry G. Tsarichenko, Yuri L. Demidko, Nikolai V. Petrovsky.

Abstract
This study was aimed at decreasing the recovery period required to restore urinary continence after radical prostatectomy.The study included 75 patients with urinary incontinence after radical prostatectomy; special exercises for pelvic floor muscles training were assigned to them. The exercises were done with the use of biofeedback through electromyogram. During medical history taking, it had been found out whether restoring the erectile function was relevant for the patient. For those who wanted to regain the function, the pelvic muscle exercises were accompanied with 5 mg tadalafil daily. The patients for whom the erectile function recovery was not relevant underwent monotherapy with the pelvic muscle exercises.For 38 (50.7%) patients after radical prostatectomy, the recovery of the erectile function was not relevant. 37 (49.3%) wanted to regain the function after the operation. 14 (18.7%) of them planned to resume sexual relationship soon after beginning the incontinence treatment and 23 (30.7%) after restoring the continence. The median of improvement in the continence function with the simultaneous use of the pelvic muscle exercises and tadalafil was 3.1 months. In the patients who used only exercises, it was 5.4 months, and in the patients with irrelevant erectile function it was 7.6 months (p=0.0015).The use of tadalafil helps shorten the time period required to restore urine continence. The role of
motivation for the erectile function recovery is also very important.

Key words: Prostate cancer, radical prostatectomy, urinary incontinence, erectile dysfunction, pelvic muscle training, biofeedback, tadalafil.



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