Impact of early pelvic floor rehabilitation after transurethral resection of the prostate

Daniele Porru, Giuliana Campus, Alessandro Caria, Giuliana Madeddu, Antonio Cucchi, Bruno Rovereto, Roberto M. Scarpa, Pierpaolo Pili, Enzo Usai

Research output: Contribution to journalArticle

Abstract

We examined the results of teaching pelvic floor muscle exercises (PME) on micturition parameters, urinary incontinence, post-micturition dribbling, and quality of life in patients after transurethral prostatectomy (TURP). Fifty-eight consecutive patients who were selected to undergo TURP for benign prostatic hyperplasia (BPH) were admitted into the study: 28 were randomly assigned to a control group (A), 30 formed the investigational group (B) during an initial visit conducted before surgery. In group B patients, perineal exercises were demonstrated in detail, and tested for their correct use via simultaneous rectal and abdominal examination. After the removal of the urethral catheter, these patients were instructed to perform pelvic floor muscle exercises at home and were evaluated before the exercises and at weekly intervals postoperatively. The American Urological Association Symptom Score improved significantly after TURP in both groups. The average quality of life score improved more significantly in group B after TURP, from 5.5 to 1.5 (P <0.001). The grade of muscle contraction strength after 4 weeks of PME increased from 2.8 to 3.8 in group B (P <0.01); it was unchanged in the group A. The number of patients with incontinence episodes and post-micturition dribbling was significantly lower in the group B at weeks 1, 2, and 3 (P <0.01). Our results show that pelvic floor muscle re-education produces a quicker improvement of urinary symptoms and of quality of life in patients after TURP. Its early practice reduces urinary incontinence and post-micturition dribbling in the first postoperative weeks. The exercises are simple and easy to perform in the clinical setting and at home, and therefore should be recommended to all cooperative patients after TURP.

Original languageEnglish
Pages (from-to)53-59
Number of pages7
JournalNeurourology and Urodynamics
Volume20
Issue number1
DOIs
Publication statusPublished - 2001

Fingerprint

Transurethral Resection of Prostate
Pelvic Floor
Rehabilitation
Urination
Exercise
Muscles
Quality of Life
Urinary Incontinence
Urinary Catheters
Prostatic Hyperplasia
Muscle Strength
Muscle Contraction
Teaching
Education
Control Groups

Keywords

  • Pelvic floor exercise
  • Post-prostatectomy incontinence
  • TURP
  • Voiding symptoms

ASJC Scopus subject areas

  • Nephrology
  • Clinical Neurology
  • Urology

Cite this

Impact of early pelvic floor rehabilitation after transurethral resection of the prostate. / Porru, Daniele; Campus, Giuliana; Caria, Alessandro; Madeddu, Giuliana; Cucchi, Antonio; Rovereto, Bruno; Scarpa, Roberto M.; Pili, Pierpaolo; Usai, Enzo.

In: Neurourology and Urodynamics, Vol. 20, No. 1, 2001, p. 53-59.

Research output: Contribution to journalArticle

Porru, Daniele ; Campus, Giuliana ; Caria, Alessandro ; Madeddu, Giuliana ; Cucchi, Antonio ; Rovereto, Bruno ; Scarpa, Roberto M. ; Pili, Pierpaolo ; Usai, Enzo. / Impact of early pelvic floor rehabilitation after transurethral resection of the prostate. In: Neurourology and Urodynamics. 2001 ; Vol. 20, No. 1. pp. 53-59.
@article{c7681e9d272b4e1db3c34c338cd38537,
title = "Impact of early pelvic floor rehabilitation after transurethral resection of the prostate",
abstract = "We examined the results of teaching pelvic floor muscle exercises (PME) on micturition parameters, urinary incontinence, post-micturition dribbling, and quality of life in patients after transurethral prostatectomy (TURP). Fifty-eight consecutive patients who were selected to undergo TURP for benign prostatic hyperplasia (BPH) were admitted into the study: 28 were randomly assigned to a control group (A), 30 formed the investigational group (B) during an initial visit conducted before surgery. In group B patients, perineal exercises were demonstrated in detail, and tested for their correct use via simultaneous rectal and abdominal examination. After the removal of the urethral catheter, these patients were instructed to perform pelvic floor muscle exercises at home and were evaluated before the exercises and at weekly intervals postoperatively. The American Urological Association Symptom Score improved significantly after TURP in both groups. The average quality of life score improved more significantly in group B after TURP, from 5.5 to 1.5 (P <0.001). The grade of muscle contraction strength after 4 weeks of PME increased from 2.8 to 3.8 in group B (P <0.01); it was unchanged in the group A. The number of patients with incontinence episodes and post-micturition dribbling was significantly lower in the group B at weeks 1, 2, and 3 (P <0.01). Our results show that pelvic floor muscle re-education produces a quicker improvement of urinary symptoms and of quality of life in patients after TURP. Its early practice reduces urinary incontinence and post-micturition dribbling in the first postoperative weeks. The exercises are simple and easy to perform in the clinical setting and at home, and therefore should be recommended to all cooperative patients after TURP.",
keywords = "Pelvic floor exercise, Post-prostatectomy incontinence, TURP, Voiding symptoms",
author = "Daniele Porru and Giuliana Campus and Alessandro Caria and Giuliana Madeddu and Antonio Cucchi and Bruno Rovereto and Scarpa, {Roberto M.} and Pierpaolo Pili and Enzo Usai",
year = "2001",
doi = "10.1002/1520-6777(2001)20:1<53::AID-NAU7>3.0.CO;2-B",
language = "English",
volume = "20",
pages = "53--59",
journal = "Neurourology and Urodynamics",
issn = "0733-2467",
publisher = "Wiley-Liss Inc.",
number = "1",

}

TY - JOUR

T1 - Impact of early pelvic floor rehabilitation after transurethral resection of the prostate

AU - Porru, Daniele

AU - Campus, Giuliana

AU - Caria, Alessandro

AU - Madeddu, Giuliana

AU - Cucchi, Antonio

AU - Rovereto, Bruno

AU - Scarpa, Roberto M.

AU - Pili, Pierpaolo

AU - Usai, Enzo

PY - 2001

Y1 - 2001

N2 - We examined the results of teaching pelvic floor muscle exercises (PME) on micturition parameters, urinary incontinence, post-micturition dribbling, and quality of life in patients after transurethral prostatectomy (TURP). Fifty-eight consecutive patients who were selected to undergo TURP for benign prostatic hyperplasia (BPH) were admitted into the study: 28 were randomly assigned to a control group (A), 30 formed the investigational group (B) during an initial visit conducted before surgery. In group B patients, perineal exercises were demonstrated in detail, and tested for their correct use via simultaneous rectal and abdominal examination. After the removal of the urethral catheter, these patients were instructed to perform pelvic floor muscle exercises at home and were evaluated before the exercises and at weekly intervals postoperatively. The American Urological Association Symptom Score improved significantly after TURP in both groups. The average quality of life score improved more significantly in group B after TURP, from 5.5 to 1.5 (P <0.001). The grade of muscle contraction strength after 4 weeks of PME increased from 2.8 to 3.8 in group B (P <0.01); it was unchanged in the group A. The number of patients with incontinence episodes and post-micturition dribbling was significantly lower in the group B at weeks 1, 2, and 3 (P <0.01). Our results show that pelvic floor muscle re-education produces a quicker improvement of urinary symptoms and of quality of life in patients after TURP. Its early practice reduces urinary incontinence and post-micturition dribbling in the first postoperative weeks. The exercises are simple and easy to perform in the clinical setting and at home, and therefore should be recommended to all cooperative patients after TURP.

AB - We examined the results of teaching pelvic floor muscle exercises (PME) on micturition parameters, urinary incontinence, post-micturition dribbling, and quality of life in patients after transurethral prostatectomy (TURP). Fifty-eight consecutive patients who were selected to undergo TURP for benign prostatic hyperplasia (BPH) were admitted into the study: 28 were randomly assigned to a control group (A), 30 formed the investigational group (B) during an initial visit conducted before surgery. In group B patients, perineal exercises were demonstrated in detail, and tested for their correct use via simultaneous rectal and abdominal examination. After the removal of the urethral catheter, these patients were instructed to perform pelvic floor muscle exercises at home and were evaluated before the exercises and at weekly intervals postoperatively. The American Urological Association Symptom Score improved significantly after TURP in both groups. The average quality of life score improved more significantly in group B after TURP, from 5.5 to 1.5 (P <0.001). The grade of muscle contraction strength after 4 weeks of PME increased from 2.8 to 3.8 in group B (P <0.01); it was unchanged in the group A. The number of patients with incontinence episodes and post-micturition dribbling was significantly lower in the group B at weeks 1, 2, and 3 (P <0.01). Our results show that pelvic floor muscle re-education produces a quicker improvement of urinary symptoms and of quality of life in patients after TURP. Its early practice reduces urinary incontinence and post-micturition dribbling in the first postoperative weeks. The exercises are simple and easy to perform in the clinical setting and at home, and therefore should be recommended to all cooperative patients after TURP.

KW - Pelvic floor exercise

KW - Post-prostatectomy incontinence

KW - TURP

KW - Voiding symptoms

UR - http://www.scopus.com/inward/record.url?scp=0035139328&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0035139328&partnerID=8YFLogxK

U2 - 10.1002/1520-6777(2001)20:1<53::AID-NAU7>3.0.CO;2-B

DO - 10.1002/1520-6777(2001)20:1<53::AID-NAU7>3.0.CO;2-B

M3 - Article

C2 - 11135382

AN - SCOPUS:0035139328

VL - 20

SP - 53

EP - 59

JO - Neurourology and Urodynamics

JF - Neurourology and Urodynamics

SN - 0733-2467

IS - 1

ER -