The Efficacy of Pilates in the Recovery of Post-prostatectomy Urinary Incontinence

The Efficacy of Pilates Compared to Pelvic Floor Muscle Training Associated With Electrical Stimulation in the Recovery of Post-prostatectomy Urinary Incontinence: a Randomized Clinical Trial.

Status

Completed

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT02086266

Enrollment

Registered

2014-03-13

Start date

2012-03-31

Completion date

2014-03-31

Last updated

2014-03-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Prostate Cancer, Urinary Incontinence

Keywords

Prostatectomy, Urinary Continence, Physical Therapy Modalities, Pelvic Floor, Randomized Trial.

Brief summary

The purpose of this study is to compare the efficacy between a Pilates exercise program and a Pelvic Floor Muscle Training (PFMT) protocol combined with anal electrical stimulation (AES) in the recovery of urinary continence (UI) after radical prostatectomy. There are no studies that evaluate Pilates mat exercises for incontinence in men although it can be assured that this method has the pelvic floor contractions as a principle for practice. If this new therapeutic approach proves to be as effective as described treatment in improving urinary complaints, it will be an option for patients who prefer a non-invasive treatment.

Detailed description

This randomized clinical trial includes 69 individuals with urinary incontinence one month after radical prostatectomy. One physiotherapist, with experience in urogynecology, was responsible for all the assessments. Urinary frequency, nocturia, 24-hour pad test, number of pads used per day, and the International Consultation on Incontinence Questionnaire - Short Form (ICIQ-SF) were the variables evaluated. The subjects were allocated in one of two treatment groups (G1: Pilates; G2: anal electrical stimulation combined with pelvic floor muscle training). Volunteers participated of 10 sessions of the corresponding treatment and were reassessed objectively by the number of pads used per day, and subjectively with the score of quality of life.

Interventions

OTHERPILATES

OTHERPFMT and AES

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

TREATMENT

Masking

NONE

Eligibility

Sex/Gender

MALE

Age

50 Years to 75 Years

Healthy volunteers

Inclusion criteria

* Volunteers between 50 and 75 years old; * Submitted to radical prostatectomy; * With complaints of urinary incontinence; * That completed one month of surgery;

Exclusion criteria

* History of incontinence; * Transurethral resection of the prostate; * Diagnosis of neurological or cognitive impairment; * Subjects who were unable to attend treatment sessions, due to distance or physical limitations.

Design outcomes

Primary

Measure	Time frame
Change in the number of pads used per day at 3 months	3 months

Secondary

Measure	Time frame
Change in the 24 hours Pad Test at 3 months	3 months
Change in the International Consultation of Urinary Incontinence- Short Form at 3 months	3 months
Change in the episodes of nocturia at 3 months	3 months

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026