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The Effectiveness of Pelvic Muscle Exercise for Urinary Incontinence in Radical Prostatectomy Recipients

Tuesday, 14 July 2009

Yu-Hua Lin, PhD, RN
Nursing Department, I-Shou University, Kaohsiung County, Taiwan

Learning Objective 1: know the prevalence of urinary incontinence among post radical prostatectomy patients in Taiwan.

Learning Objective 2: Know the efficacy of pelvic floor muscle exercise in urinary incontinence following radical prostatectomy.

Purpose: The purpose of this study was to explore the prevalence of urinary incontinence, and to access the efficacy of pelvic floor muscle exercise in urinary incontinence following radical prostatectomy.

Methods: This study applied Quasi-experimental design. All participants are over 40 years, conscious clear, radical prtostatectomy. Instruments of the incidence of urinary incontinence questionnaire, pad test, anal pressure manometry, and University of California in Los Angel Prostate Cancer Index (UCLA-PCI) was used. After catheter removal, participants distributed into a treatment group (n=20) and a control group (n=20). Patients in the treatment group took part in a pelvic floor muscle exercise for as long as they were incontinence. The control group care as routine. We followed up the continence rate at 1, 2 and 3 months.

Results: The results showed that all participants experience incontinence at the first month. The repeated measure variance analysis found that the subjects received pelvic floor muscle exercise was not significantly improvement in urine incontinence and quality of life than those who did not received it. The incontinence and quality of life improvement were all occurrence in treatment group and control group.

Conclusion:Urinary incontinence is one of the majority problems in patients who were received radical prostatectomy. Clear and concise information related the complications should addresses to patients and their spouses.

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