A Randomized Pilot Study of Conventional Versus Advanced Pelvic Floor Exercises to Treat Urinary Incontinence After Radical Prostatectomy
Radical prostatectomy is a common and effective treatment for prostate cancer but is
associated with urinary incontinence that can persist for several months after surgery and
significantly reduce quality of life. Studies have shown that routine performance of pelvic
floor exercises after radical prostatectomy can aid in the recovery of urinary control;
however, conventional pelvic floor exercises do not produce consistent results. Research
indicates that incorporating other deep abdominal muscles can further activate the pelvic
floor making it stronger than by activating the pelvic floor alone. Specifically, 'Pfilates'
and 'Hypopressives' are two new techniques that combine traditional pelvic floor exercises
with activation of supportive muscles. Our proposed study will be the first to test the
effect of an advanced pelvic floor exercise training program that includes Pfilates and
Hypopressives to treat urinary incontinence following radical prostatectomy. Our primary aim
of this study is to assess the feasibility of conducting a full-scale RCT of an advanced
pelvic floor exercise training program, including standard pelvic floor exercises, Pfilates,
and Hypopressives techniques on urinary incontinence. Feasibility will be determined by
measuring recruitment success, retention, outcome capture, and intervention adherence,
tolerance, and safety. We hypothesize men under going radical prostatectomy for prostate
cancer in the advance pelvic floor training program will report greater improvement in
urinary incontinence and health-related quality of life.
View this trial on ClinicalTrials.gov
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