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Artigo Acesso aberto Produção Nacional Revisado por pares
BIBTEX RIS

Is pilates as effective as conventional pelvic floor muscle exercises in the conservative treatment of post‐prostatectomy urinary incontinence? A randomised controlled trial

2015; Wiley; Volume: 35; Issue: 5 Linguagem: Inglês

10.1002/nau.22761

ISSN

1520-6777

Autores

Fabiana Rotondo Pedriali, Cíntia Spagnolo Gomes, Larissa Soares, Mariana Ragassi Urbano, Eliane Cristina Hilberath Moreira, Márcio Augusto Averbeck, Silvio H. M. de Almeida,

Tópico(s)

Anorectal Disease Treatments and Outcomes

Resumo

Aims To verify the efficacy of a Pilates exercise program compared to conventional pelvic floor muscle exercise (PFME) protocol in the conservative treatment of post‐prostatectomy urinary incontinence (PPUI). Methods Baseline assessment was performed four weeks postoperatively and included 24 hr pad test, bladder diary, and the ICIQ‐SF. Patients were randomised into three groups: Pilates (G1), PFME combined with anal electrical stimulation (G2), and a control group (G3). Both treatment groups had to perform 10 weekly treatment sessions. Primary outcomes were mean reduction of daily pads and mean reduction of ICIQ‐SF score four months after surgery. The significance level was set at P < 0.05. Results 85 patients completed the study. Differences between treatment groups (G1 and G2) in terms of mean reduction in daily pad usage, 24 hr pad test, and ICIQ‐SF scores were not statistically significant ( P > 0.05). The control group differed from G1 in daily pad usage ( P = 0.01) and ICIQ‐SF score ( P = 0.0073). Intergroup comparisons revealed that 57.7% of the volunteers in G1 and 50% of the individuals from G2 no longer used pads by the end of the treatment period ( P = 0.57). In the control group, 22.6% were not using pads four months after surgery, with statistical difference compared to G1 ( P < 0.05). Conclusions The Pilates exercise program proved to be as effective as conventional PFME to speed up continence recovery in PPUI. It also achieved a higher rate of fully continent patients when compared to the control group in the short‐term. Neurourol. Urodynam. 35:615–621, 2016 . © 2015 Wiley Periodicals, Inc.

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