Introduction. Conservative management of post-RRP urinary incontinence includes pelvic floor muscle exercises (PFMEs), electrostimulation+biofeedback (SEF+BFB) and extracorporeal magnetic innervation (ExMi). These can all be performed by nurses, but their efficacy is unclear in literature. Aim of the study. Evaluating the role of conservative management in post-RRP urinary incontinence; identifying determinant elements for nursing anamnesis. Methods. Non-randomized trial. Stratified sample: 123 patients, prostate-limited cancer (2003-2010), indwelling catheter for max 8 days, regular flow after removal. Assessment at 1, 3, 6, 12 months: PC- test, 24- h pad test, International Prostate Symptom Score (IPSS). End of treatment: loss< 10 grams/day during effort. 22 people refused rehabilitation but accepted to enter the study. 86 underwent PFMEs. 15 passed from PFMEs to SEF + BFB; 20 from PFMEs to ExMi; 15 began ExMI directly (data collection in progress). Results. Quicker IPSS decrease in the PFMEs group versus non treatment, notwithstanding BMIs: 1st – 3rd month: ANCOVA p=0.001; 3rd-6th p<0.0001; 6th-12th p<0.01. Results in the 1st month appeared to heavily influence the following (p<0.01). 85% of PFMEs patients reach the endpoint before 3 months (Cox regression, p<0.01). The fundamental data for urinary anamnesis were “effort required to begin”, “flow weakness” and “stop and start several times” (factor and cluster analysis). Conclusion / discussion. PFMEs are more effective than no treatment; after 3 months without success, alternative methods should be considered. Practical relevance. PFMEs can be effectively used in rehabilitation. Research implications. Our data may be used for further comparisons with other rehabilitation methods (in progress).

Urinary incontinence and quality of life after radical retropubic prostatectomy (RRP) : efficacy of conservative management and main elements for nursing anamnesis, in response to the need of urinary elimination / S. Terzoni, C. Mora, E. Montanari, A.L.L. Destrebecq. ((Intervento presentato al 11. convegno European Doctoral Conference in Nursing Science tenutosi a Berlin nel 2010.

Urinary incontinence and quality of life after radical retropubic prostatectomy (RRP) : efficacy of conservative management and main elements for nursing anamnesis, in response to the need of urinary elimination

S. Terzoni
Primo
;
E. Montanari
Penultimo
;
A.L.L. Destrebecq
Ultimo
2010

Abstract

Introduction. Conservative management of post-RRP urinary incontinence includes pelvic floor muscle exercises (PFMEs), electrostimulation+biofeedback (SEF+BFB) and extracorporeal magnetic innervation (ExMi). These can all be performed by nurses, but their efficacy is unclear in literature. Aim of the study. Evaluating the role of conservative management in post-RRP urinary incontinence; identifying determinant elements for nursing anamnesis. Methods. Non-randomized trial. Stratified sample: 123 patients, prostate-limited cancer (2003-2010), indwelling catheter for max 8 days, regular flow after removal. Assessment at 1, 3, 6, 12 months: PC- test, 24- h pad test, International Prostate Symptom Score (IPSS). End of treatment: loss< 10 grams/day during effort. 22 people refused rehabilitation but accepted to enter the study. 86 underwent PFMEs. 15 passed from PFMEs to SEF + BFB; 20 from PFMEs to ExMi; 15 began ExMI directly (data collection in progress). Results. Quicker IPSS decrease in the PFMEs group versus non treatment, notwithstanding BMIs: 1st – 3rd month: ANCOVA p=0.001; 3rd-6th p<0.0001; 6th-12th p<0.01. Results in the 1st month appeared to heavily influence the following (p<0.01). 85% of PFMEs patients reach the endpoint before 3 months (Cox regression, p<0.01). The fundamental data for urinary anamnesis were “effort required to begin”, “flow weakness” and “stop and start several times” (factor and cluster analysis). Conclusion / discussion. PFMEs are more effective than no treatment; after 3 months without success, alternative methods should be considered. Practical relevance. PFMEs can be effectively used in rehabilitation. Research implications. Our data may be used for further comparisons with other rehabilitation methods (in progress).
17-set-2010
Settore MED/45 - Scienze Infermieristiche Generali, Cliniche e Pediatriche
Medical University of Graz
Universiteit Maastricht
dationCharité foundation- Universitätsmedizin Berlin
Urinary incontinence and quality of life after radical retropubic prostatectomy (RRP) : efficacy of conservative management and main elements for nursing anamnesis, in response to the need of urinary elimination / S. Terzoni, C. Mora, E. Montanari, A.L.L. Destrebecq. ((Intervento presentato al 11. convegno European Doctoral Conference in Nursing Science tenutosi a Berlin nel 2010.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/149103
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