TREATMENT OF URINARY INCONTINENCE AFTER RADICAL PROSTATECTOMY USING TRAINING OF PELVIC MUSCLES UNDER THE CONTROL OF BIOFEEDBACK


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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).

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Sobre autores

Yu. Demidko

SRI of Uronephrology and Human Reproductive Health of the First MSMU n.a. I.M. Sechenov

Email: demidko1@mail.ru
MD, Head of the Department of Functional Diagnostics and Research Methods

P. Glybochko

SRI of Uronephrology and Human Reproductive Health of the First MSMU n.a. I.M. Sechenov

A. Vinarov

SRI of Uronephrology and Human Reproductive Health of the First MSMU n.a. I.M. Sechenov

L. Rapoport

SRI of Uronephrology and Human Reproductive Health of the First MSMU n.a. I.M. Sechenov

M. Chaly

SRI of Uronephrology and Human Reproductive Health of the First MSMU n.a. I.M. Sechenov

N. Akhvlediani

SRI of Uronephrology and Human Reproductive Health of the First MSMU n.a. I.M. Sechenov

Yu. Esilevsky

SRI of Uronephrology and Human Reproductive Health of the First MSMU n.a. I.M. Sechenov

L. Demidko

SRI of Uronephrology and Human Reproductive Health of the First MSMU n.a. I.M. Sechenov

A. Bayduvaliev

SRI of Uronephrology and Human Reproductive Health of the First MSMU n.a. I.M. Sechenov

S. Myannik

SRI of Uronephrology and Human Reproductive Health of the First MSMU n.a. I.M. Sechenov

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