None listed
Conditions
Brief summary
This pilot study will assess the feasibility and effect of pelvic floor muscle training (PFMT) on post-operative UI in men undergoing RP at Western Health. WHO IS IT FOR? Men with a planned surgery date for radical prostatectomy who have been admitted to the Western Continence Service (WCS) at Western Health. Men who are English speaking background and have not experienced any bladder leakage in the 12 months prior to their operation can participate. 30 men will be recruited to this study. STUDY DETAILS Men will attend to participate in the study prior to having their surgery. This randomized controlled trial (RCT) allocates men to one of two groups: The functional training group where they are asked to do a series of functional exercises such as steps ups and lunges with a pelvic floor muscle pre-contraction; or the standard care group where they perform static pelvic floor contractions as part of their program. Men will complete questionnaires and pad weights at 4, 12 and 26 weeks after their surgery to help collect data. This study will assess the feasibility of this study and the potential for development of a larger scale study. It will also assess the effect that the above exercises have on post-operative UI.
Interventions
Functional training group
Assessment of pelvic floor muscle/continence mechanism function and exercise prescription provided by pelvic floor physiotherapist with experience in men's health
The intervention may occur anywhere between 1-6 weeks prior to undergoing surgery, depending on timing of referral to physiotherapy and priority for surgery. Dates between intervention and surgery will be documented to determine duration of the intervention.
Participation in 2 x daily functional exercises tha
Functional training group Assessment of pelvic floor muscle/continence mechanism function and exercise prescription provided by pelvic floor physiotherapist with experience in men's health The intervention may occur anywhere between 1-6 weeks prior to undergoing surgery, depending on timing of referral to physiotherapy and priority for surgery. Dates between intervention and surgery will be documented to determine duration of the intervention. Participation in 2 x daily functional exercises that includes: - x 10 sit to stand - x 10 lunge left and right - x 10 step ups left and right - x 10 forward raise/side raise/overhead press with 2kg dumbbell each hand - ** All exercises performed with pelvic floor muscle pre-contraction Performed face to face in a community based setting within a hospital outpatients clinic Each set of the program takes approximately 5-10 minutes in duration Participants are recruited as early as possible after they have received a planned surgery date. This time frame may vary from 6 weeks-1 week. The time between pre-op exercise prescription and surgery date is recorded. Adherence recorded via exercise diary
Sponsors
Alesha Sayner
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Prevention
Masking
Open (masking not used)
Eligibility
Sex/Gender
Male
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. Male patients admitted to the Western Continence service (WCS) 2. Men who have a planned surgery date for Radical Prostatectomy (RP) 3. Continent pre-operatively (no episodes of Urinary Incontinence (UI) in the 12 months prior to surgery)
Exclusion criteria
1. Female patients 2. Patients who have experienced UI in the 12 months prior to their surgery 3. Patients who are unable to complete the validated English questionnaire (i.e. non English speaking background, reduced cognition) 4. Pre-existing condition that limit functional capacity to participate in intervention group (e.g. neurological conditions that inhibit weight bearing positions, postures and balance).
Outcome results
None listed