Effects of Adding Concentration Therapy to Kegel
Exercise to Improve Continence after Radical
Prostatectomy, Randomized Control
Jaruwan Kongtragul BNS*,
Wanvara Tukhanon BNS*, Piyanuch Tudpudsa BNS*, Kanita Suedee BNS*,
Supaporn Tienchai BNS*, Sunai Leewansangtong MD*, Chaiyong Nualgyong MD*
Affiliation :
* Division of Urology, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
Objective : To compare the efficacy of pelvic floor muscle exercise with the concentration therapy versus pelvic floor muscle
exercise alone after radical prostatectomy.
Material and Method: One hundred thirty five patients were randomized into the intervention group that concentration
therapy was added to Kegel exercise, and control group that was Kegel exercise only, using the stratified randomization
(stratified by taking the catheter off before and after discharge) and type of surgery. Incontinence was defined as a loss of
urine equal or more than to 2 grams in one-hour pad test, before and after the test in each sample group. Follow-up results
were obtained by phone visit at 3, 4, 5, 6, 8, 10, and 12 weeks after surgery.
Results : In the intervention group, 65 of 68 cases (95.6%) had continence in three months, compared to 48 of 67 (71.6%)
in the control group, with significant statistical difference (p-value <0.001). The secondary result was the regularity in
practicing. It was 80% in total. In the intervention group, 66 of 68 cases (97.06%) practiced compared to 34 of 67 (50.75%)
in the control group, which was significant difference between the two groups.
Conclusion : Combined concentration therapy with Kegel exercise had significantly improved continence after radical
prostatectomy.
Keywords : Radical prostatectomy, Stress incontinence, Prostatectomy, Pelvic floor muscle exercise, Kegel exercise,
Concentration therapy
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