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Capstone

Pelvic Floor Re-education with Biofeedback for Post-prostatectomy Patients

23 May 2009

Abstract

The inclusion of biofeedback assisted pelvic floor muscle education (PFME) (administered via electromyography sensors or a rectal pressure probe) for men to assist with resolution of urinary incontinence due to resection of the prostate has shown promising outcomes from the current literature. Re-gaining partial urinary continence after surgery is possible with most men, however, the chances of fully re-gaining ability to control the bladder is dependent upon many variables. The compliance with a home exercise program (HEP), the degree of continence the patient had prior to surgery, the surgical expertise and technique, the number of biofeedback treatments, the time-frame between surgery and treatment, and other measures such as conflicting medications, dementia and neurological impairments or injuries (which are typically excluded in studies) all have a large effect on the patient’s recovery. The specifics of all these variables have yet to be defined and need to be included with future research in this area. Furthermore, the need for research with higher overall scores of statistical validity and study strength are also needed to set any gold standards for the treatment of urinary incontinence in men following surgical prostate removal.


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