rehabilitation of patients after radical prostatectomy

rehabilitation of patients after radical prostatectomy

;V. N. Pavlov;A. R. Zagitov;A. A. Kazikhinuro;V. Z. Galimzyanov;R. R. Ishemgulov;A. T. Mustafin;L. M. Kutliyarov
supportive care in cancer 2014 Vol. 5 pp. 53-55
172
pavlov2014onkourologirehabilitation

Abstract

According to the data obtained by Russian and foreign investigators, the major complication after radical prostatectomy (RPE) is urinaryincontinence that is recorded in 20-30% of cases.

Objective. To improve the results of surgical treatment in patients with prostate cancer, by developing and introducing a well-rounded post-operative rehabilitation program.

Subjects and methods. Seventy-four patients who were treated at the urology clinic, Bashkir State Medical University, and underwent RPEin 2005 to 2007 have been examined; 27 of them were diagnosed as having urinary incontinence (UI). After discharge from the clinic, acontrol group received rehabilitative treatment at the sanatorium “Krasnousolsk” of the Republic of Bashkortostan.

 Results and discussion. Therapeutic exercises and pelvic floor electrostimulation halve the number of day urinations and paddings used inpatients with UI, by increasing the bladder capacity from 138.2±12.7 to 196±11.2 ml and improving the trophism of the bladder neck andurethra in the sphincteral area.

 

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