Urinary incontinence after prostate enucleation
Conditions
Interventions
Experimental group:Perioperative pelvic floor muscle group rehabilitation exercises
Control Group:Levator ani exercises afer sugery
Sponsors
Shanghai Fourth People's Hospital, Affiliated to Tongji University
Eligibility
Sex/Gender
Male
Age
50 Years to 85 Years
Inclusion criteria
Inclusion criteria: (1) Male = age 50 years old; (2) Prostatic hyperplasia, recurrent hematuria, recurrent urinary tract infection, recent acute urinary retention, bladder stones, renal impairment or poor drug treatment effect, willing to undergo Holep surgery; (3) Agree to complete the urination diary (optional), urine pad test and other examination items during the test; (4) Serum prostate-specific antigen (PSA) 4ng/mL, but prostate puncture confirms benign prostate tissue. (5) Prostate ultrasound showed that the patient's prostate volume (PV) was = 30cm3. (6) Have not received acupuncture, bioelectric feedback and other treatments within 1 week before the introduction period; (7) Understand the risks and benefits of participating in the study, voluntarily take the test, and be able to sign the informed consent form;
Exclusion criteria
Exclusion criteria: (1) Patients with Alzheimer's disease, cerebral infarction, or cognitive dysfunction caused by drugs or alcohol; (2) Bladder dysfunction caused by previous diseases such as spina bifida, spinal cord injury, spinal surgery, cerebral infarction and cerebral hemorrhage; (3) Myocardial infarction, angina, cerebrovascular accident, and heart failure within the past 6 months; (4) Combined with hematologic diseases, gastrointestinal bleeding, diabetic peripheral neuropathy; (5) Recovering from cancer in the past 1 year, or having undergone radiotherapy in the pelvic region, or previous pelvic or lower abdominal surgery or trauma history; (6) Those with neuropsychiatric disorders and those who are unable or unwilling to cooperate; (7) Taking drugs affecting bladder function such as solifenacin, tolterodine, and pyridostigmine bromide in the past 3 months; (8) Urodynamic examination showed neurogenic bladder, unstable contraction of detrusor during the storage period, dyscoordination of detrusor sphincter, and weakness of detrusor contraction, which clearly affected the effect of surgery; (9) Patients with urethral stenosis, prostate cancer, indwelling urethral catheter, and venous thrombosis on venous ultrasound of lower limbs.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of days to recovery from urinary continence; | — |
Secondary
| Measure | Time frame |
|---|---|
| International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form; | — |
Countries
China
Contacts
Public ContactTie Zhou; AnRen Zhang
Shanghai Fourth People's Hospital, Affiliated to Tongji University
Outcome results
None listed