Prostatektomi Sonrası Üriner İnkontinans Semptomu Olan Bireylerde Farklı Konservatif Tedavi Protokollerinin Etkinliğinin Karşılaştırılması

Abstract

The aim of this study was to reveal the additional effects of Knack maneuver and lifestyle recommendations training on pelvic floor muscle training (PFMT) in a randomized controlled design in individuals with urinary incontinence (UI) complaints after radical prostatectomy. 66 individuals with UI complaints after prostatectomy were included in the study. Individuals were randomly assigned to Group 1 (PFMT with Knack maneuver and lifestyle recommendations), Group 2 (PFMT with Knack maneuver), or Group 3 (PFMT alone). During the 8-week study period, individuals were evaluated at baseline, at the end of the 4th week, and at the end of the 8th week. International Consultation on Incontinence Questionnaire-Short Form, 1-hour pad test, King’s Health Questionnaire, Patient Global Impression of Severity scale, and Patient Global Impression of Improvement Scales were used in the evaluation. At the end of the study, it was determined that all outcome measures, except for the "general health perception", "personal relationships" and "severity measures" sub-domains of QoL, showed statistically significant changes in all groups over time (p<0,001). When within-group changes were compared between groups, adding the Knack maneuver and lifestyle recommendations to the PFMT revealed higher improvements for all outcome measures (p<0.001). In addition, adding only Knack maneuver training to PFMT without lifestyle recommendations showed superiority in terms of various outcome measurement parameters (subjective UI severity and general QoL, UI effect, perception of UI severity) compared to PFMT alone. As a result of this study, it was determined that in the treatment of UI after prostatectomy, better results were obtained in the short term with the addition of Knack maneuver and lifestyle recommendations to PFMT. There is a need for further follow-up studies that demonstrate the effects by maintaining long-term compliance with conservative approaches in the management of UI after prostatectomy.