The Efficacy of Pilates in the Recovery of Post-prostatectomy Urinary Incontinence

NCT02086266 | Completed

• 1 other identifier: PILUI1
• Study Type: interventional
• Target: 54
• Locations: 0 countries
• Sites: N/A

Brief Summary

The purpose of this study is to compare the efficacy between a Pilates exercise program and a Pelvic Floor Muscle Training (PFMT) protocol combined with anal electrical stimulation (AES) in the recovery of urinary continence (UI) after radical prostatectomy. There are no studies that evaluate Pilates mat exercises for incontinence in men although it can be assured that this method has the pelvic floor contractions as a principle for practice. If this new therapeutic approach proves to be as effective as described treatment in improving urinary complaints, it will be an option for patients who prefer a non-invasive treatment.

Conditions

Prostate Cancer; Urinary Incontinence

Keywords

Prostatectomy; Urinary Continence; Physical Therapy Modalities; Pelvic Floor; Randomized Trial.

Outcome Measures

Primary Outcomes (1)

• Change in the number of pads used per day at 3 months

  3 months

Secondary Outcomes (3)

• Change in the 24 hours Pad Test at 3 months

  3 months

• Change in the International Consultation of Urinary Incontinence- Short Form at 3 months

  3 months

• Change in the episodes of nocturia at 3 months

  3 months

Study Arms (2)

PILATES

EXPERIMENTAL

Weekly Pilates sessions, guided by a specialized physiotherapist. The duration of the treatment was 10 weeks, and each session lasted 45 to 50 minutes. All subjects received instruction to perform specific daily home exercises.

Other: PILATES

PFMT and AES

ACTIVE COMPARATOR

For also 10 weeks, the participants went trough anal electrical stimulation associated with Pelvic Floor Muscle Training, supervised by a specialized physiotherapist. All subjects received orientation to perform the same pelvic floor exercises at home.

Other: PFMT and AES

Interventions

PILATES OTHER

PILATES

PFMT and AES OTHER

PFMT and AES

Eligibility Criteria

• Age: 50 Years - 75 Years
• Sex: male
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Volunteers between 50 and 75 years old;
• Submitted to radical prostatectomy;
• With complaints of urinary incontinence;
• That completed one month of surgery;

You may not qualify if:

• History of incontinence;
• Transurethral resection of the prostate;
• Diagnosis of neurological or cognitive impairment;
• Subjects who were unable to attend treatment sessions, due to distance or physical limitations.

Sponsors & Collaborators

• Universidade Estadual de Londrina: lead

Related Publications (1)

• Johnson EE, Mamoulakis C, Stoniute A, Omar MI, Sinha S. Conservative interventions for managing urinary incontinence after prostate surgery. Cochrane Database Syst Rev. 2023 Apr 18;4(4):CD014799. doi: 10.1002/14651858.CD014799.pub2.

  PMID: 37070660 DERIVED

MeSH Terms

Conditions

Prostatic Neoplasms; Urinary Incontinence

Interventions

Exercise Movement Techniques

Condition Hierarchy (Ancestors)

Genital Neoplasms, Male; Urogenital Neoplasms; Neoplasms by Site; Neoplasms; Genital Diseases, Male; Genital Diseases; Urogenital Diseases; Prostatic Diseases; Male Urogenital Diseases; Urination Disorders; Urologic Diseases; Female Urogenital Diseases; Female Urogenital Diseases and Pregnancy Complications; Lower Urinary Tract Symptoms; Urological Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Physical Therapy Modalities; Therapeutics

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Physioterapist student of a masters degree program at the Center of Health Science

Study Record Dates

• First Submitted: March 9, 2014
• First Posted: March 13, 2014
• Study Start: March 1, 2012
• Primary Completion: March 1, 2014
• Study Completion: March 1, 2014
• Last Updated: March 13, 2014

Record last verified: 2014-03