Urinary Incontinence After Prostate Surgery in Men - Not Helped by Pelvic Floor Exercises

Font : A-A+

Urinary Incontinence After Prostate Surgery in Men - Not Helped by Pelvic Floor Exercises

One-to-one pelvic floor exercise therapy for urinary incontinence after prostate surgery is not effective as previously thought to be. Urinary incontinence is a common complication of prostate surgery. In spite of inconclusive evidences men are often advised to do pelvic floor exercises. The recent study tried to find out if formal one-to-one pelvic floor muscle training reduces incontinence.

Pelvic-floor exercises aim at toning the pelvic floor muscles. Pelvic-floor muscle training is mostly advised for women following delivery. Its effectiveness in women is well established. But there is lack of conclusive evidence for its use in men suffering incontinence.


Surgical management of diseases of the prostate often results in urinary incontinence in men, i.e. lose of voluntary control over urination. Both the well-known operations called Radical prostatectomy and transurethral resection of the prostate (TURP) are associated with this risk, despite improvements in surgical technology and techniques.

Participants in the recent trials (two trials were performed) were the ones with urinary incontinence six weeks after surgery for radical prostatectomy (trial one) or transurethral resection of the prostate (trial two). They were randomly apportioned to receive four sessions with a therapist over three months, or standard care and lifestyle advice.

Review after 12 months revealed no significant difference in the rate of urinary incontinence in the intervention or control groups in either of the trials. No adverse effects were noticed. This meant one-to-one conservative physical therapy would not be a cost effective or efficient strategy. Standard care and lifestyle advice would be more viable.

Developing nations cannot afford such high mean costs per patient. Thus the hunt for the best management for men with persistent incontinence after prostate surgery may continue. Muscle training is not the only clinical tool available for the purpose. The efficacy of alternatives like biofeedback training and supportive devices needs to be assessed.

Source: Urinary incontinence in men after formal one-to-one pelvic-floor muscle training following radical prostatectomy or transurethral resection of the prostate (MAPS): two parallel randomised controlled trials; Cathryn Glazener et al; The Lancet 2011.

Source: Medindia

News A-Z
News Category
What's New on Medindia
Sedentary Behavior Precipitates Night-Time Hot Flashes
World Alzheimer's Day 2021 - 'Know Dementia, Know Alzheimer's
View all

Medindia Newsletters Subscribe to our Free Newsletters!
Terms & Conditions and Privacy Policy.

More News on:
Prolapse of Uterus Stress Incontinence Stress Incontinence - Management Prostate Cancer Trans-Urethral Resection of the Prostate Diaper Rash Interstitial Cystitis Prostate Cancer: Treatment Options Prostate Specific Antigen [PSA] Exercises to Grow Taller 

Recommended Reading
Genes Play Key Role in Urinary Incontinence
Genetic components play a crucial role in urinary incontinence, reveals a study conducted in twins....
New Highly Accurate Technique to Diagnose Prostate Cancer
The new fully-automated method to classify cancer versus non-cancer prostate tissue samples is ......
Diaper Rash
Diaper rash is an inflammatory skin condition that occurs in the diaper areas and commonly seen in t...
Exercises to Grow Taller
An article that highlights on the list of exercises that aids to grow taller....
Interstitial Cystitis
Interstitial cystistis is an umbrella term where a pathology cannot be defined but the patient suf...
Prolapse of Uterus
Uterine Prolapse or prolapse of the uterus is a condition when a woman’s uterus (womb) sags or slips...
Prostate Cancer
This cancer affects men over the age of 50 years and screening with rectal examination and PSA can h...
Prostate Cancer: Treatment Options
Treatment options of prostate cancer includes waiting, surgery, radiation, hormone therapy, chemothe...
Prostate Specific Antigen [PSA]
PSA blood test is specific to prostate gland but not necessarily a cancer specific test but is commo...
Stress Incontinence
Stress incontinence is the most common type of urinary incontinence. Women are more prone to it than...
Stress Incontinence - Management
Encyclopedia section of Medindia explaining about the various tests done for stress incontinence...

Disclaimer - All information and content on this site are for information and educational purposes only. The information should not be used for either diagnosis or treatment or both for any health related problem or disease. Always seek the advice of a qualified physician for medical diagnosis and treatment. Full Disclaimer

© All Rights Reserved 1997 - 2021

This site uses cookies to deliver our services. By using our site, you acknowledge that you have read and understand our Cookie Policy, Privacy Policy, and our Terms of Use