RESUMO
Urinary incontinence (UI) is one of the most frequent complications of radical prostatectomy (RPE) performed for prostate cancer. Conservative methods of treatment include pelvic floor muscle training under the control of biofeedback (BFB). This method was applied in 87 patients who underwent radical prostatectomy. 42 (48.3%) patients for 2-4 sessions had achieved skill of isolated contraction of the perineum muscles with minimal participation of anterior abdominal wall muscles. Another 45 (51.7%) patients required support in the form of biofeedback for two EMG channels. The best time for observed regression of clinical symptoms was 5.1 months. In patients with stable skill of isolated pelvic muscle contractions this parameter was 4 months, and in the absence of sustainable skill of isolated contractions - 9.4 months (p=0.001).
Assuntos
Modalidades de Fisioterapia , Complicações Pós-Operatórias/terapia , Prostatectomia/efeitos adversos , Incontinência Urinária/terapia , Idoso , Humanos , Masculino , Pessoa de Meia-Idade , Pelve/fisiopatologia , Complicações Pós-Operatórias/fisiopatologia , Incontinência Urinária/etiologia , Incontinência Urinária/fisiopatologiaRESUMO
In article experience of application of low-energy shock and wave therapy for men with a chronic pelvic pain syndrome is described.