Does One Session of Pre-Operative Pelvic Floor Muscle Training Aid in Improving Urinary Incontinence Immediately Following Robotic Assisted Radical Prostatectomy? A Retrospective and Pilot Study

  • Francine Noel-Ford

Student thesis: Doctoral ThesisDoctor of Philosophy

Abstract

Background: Despite advancements in surgical techniques through the use of robotic assisted radical prostatectomy, urinary incontinence remains the most common side effect following surgery affecting men’s quality of life. Objective: To explore the role of a single pre-operative pelvic floor muscle training session. To determine if men who receive the training session have a decrease incidence of incontinence post-op, whether pelvic floor muscle strength pre-operatively is an independent predictor of urinary incontinence, and the impact of incontinence on quality of life in men following a robotic-assisted radical prostatectomy in the early stages post-operatively. Design: A two part study with a retrospective portion and a prospective pilot cohort study. Method: Electronic medical record review of 140 men who have undergone robotic assisted radical prostatectomy was conducted for the retrospective study. For the prospective study, twenty consecutive patients who underwent robotic assistedradical prostatectomy were randomized into 2 groups, the intervention group received the pelvic floor muscle training and the control group did not. Outcome measures included pelvic floor muscle strength, 24 hour pad test, and quality of life instruments. Results: Urinary incontinence was significantly less at 6 weeks post-op with one session of pre-op pelvic floor muscletraining. None of the demographics and PF muscle performance pre-op, with the exception of race, related to incontinencepost-op. The pelvic floor muscle training session alone was related to improved continence post-op. Pelvic floor musclestrength (p = .038) and endurance (p Conclusions: The results of this study indicate that a single, pre-operative pelvic floor muscle training session may improve early continence and quality of life outcomes after robotic assisted radical prostatectomy. Larger scale studiesshould be conducted to corroborate the findings.
Date of AwardJan 1 2020
Original languageEnglish
SupervisorShari Rone-Adams (Supervisor), M. Samuel Cheng (Advisor) & Debra Stern (Advisor)

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