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Moderated Poster Abstract

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Abstract

Abstract Title

Study on the effectiveness of different pelvic floor muscle training modes on the improvement of urinary incontinence in prostate cancer patients after radical prostatectomy

Presentation Type

Moderated Poster Abstract

Manuscript Type

Clinical Research

Abstract Category *

Functional Urology: Incontinence and Voiding Dysfunction

Author's Information

Number of Authors (including submitting/presenting author) *

No more than 10 authors can be listed (as per the Good Publication Practice (GPP) Guidelines).
Please ensure the authors are listed in the right order.

Co-author 1

Ruofan Shi shirf@hku.hk The University of Hong Kong Department of Surgery Hong Kong Hong Kong, China *

Co-author 2

Zhiyang Ma zy_ma2017@163.com Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine Department of Urology Shanghai China -

Co-author 3

Yuen Bing Tze tseyb@ha.org.hk Queen Mary Hospital Department of Surgery Hong Kong Hong Kong, China -

Co-author 4

Tsun Tsun Stacia Chun stac@hku.hk The University of Hong Kong Department of Surgery Hong Kong Hong Kong, China -

Co-author 5

Da Huang hd13010@rjh.com.cn Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine Department of Urology Shanghai China -

Co-author 6

Dan Zhao zd04398@rjh.com.cn Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine Department of Rehabilitation Medicine Shanghai China -

Co-author 7

Sau Loi Ng ngsl3@ha.org.hk Queen Mary Hospital Department of Surgery Hong Kong Hong Kong, China -

Co-author 8

Ying Xu xy20848@rjh.com.cn Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine Department of Urology Shanghai China -

Co-author 9

Danfeng Xu xdf12036@rjh.com.cn Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine Department of Urology Shanghai China -

Co-author 10

Rong Na yungna@hku.hk The University of Hong Kong Department of Surgery Hong Kong Hong Kong, China -

Co-author 11

Co-author 12

Co-author 13

Co-author 14

Co-author 15

Co-author 16

Co-author 17

Co-author 18

Co-author 19

Co-author 20

Abstract Content

Introduction

To compare the effects of different pelvic floor muscle training (PFMT) modes on improving urinary incontinence (UI) recovery in prostate cancer (PCa) patients after radical prostatectomy (RP).

Materials and Methods

PCa patients who underwent RP were prospectively enrolled and randomly divided into a standard PFMT (S-PFMT) group, a somatosensory interactive PFMT (SI-PFMT, an enhanced PFMT) group, and a standard PFMT combined with pelvic floor muscle magnetic stimulation (S-PFMT+MS) group. Post-RP UI status was evaluated through Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF) scores and 1-hour pad test.

Results

A total of 101 subjects were enrolled, including 48 in the S-PFMT group, 39 in the SI-PFMT group, and 14 in the S-PFMT+MS group. All groups showed significant improvement in ICIQ-UI SF scores at 3- and 6-months post-RP compared with baseline level (all p < 0.001). At 6 months post-RP, significant amelioration of the 1-hour pad test result was achieved (p = 0.012). The patients in the S-PFMT+MS group exhibited significantly better UI improvement (ICIQ-UI SF scores) compared to the other two groups (p = 0.033 vs. S-PFMT; p = 0.011 vs. SI-PFMT) at month 6. Bayesian survival analysis supports the superior efficacy by point estimate of the S-PFMT+MS intervention over an extended period.

Conclusions

PCa patients may benefit from pelvic floor muscle magnetic stimulation in addition to standard PFMT for post-RP UI recovery.

Keywords

Pelvic floor muscle training (PFMT); urinary incontinence (UI); prostate cancer (PCa); radical prostatectomy (RP); magnetic stimulation.

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Presentation Order