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Therapeutics
Pelvic floor re-education reduced incontinence at 1 year after radical prostatectomy

https://doi.org/10.1136/ebm.5.6.183

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    (2000) Lancet 355, 98. Van Kampen M, De Weerdt W, Van Poppel H. , et al.. Effect of pelvic-floor re-education on duration and degree of incontinence after radical prostatectomy: a randomised controlled trial.. Jan 8;. :. –102.
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 QUESTION: In patients with prostate cancer, does pelvic floor re-education (PFR) reduce the duration and degree of urinary incontinence after radical prostatectomy?

    Design

    Randomised (unclear allocation concealment*), blinded (patients and outcome assessors),* controlled trial with follow up to 1 year.

    Setting

    A university hospital in Leuven, Belgium.

    Patients

    102 men (mean age 65 y) who had radical retropubic prostatectomy (maintaining pelvic floor structures) for clinically localised prostate cancer, were incontinent 15 days after surgery (after catheter removal), and could regularly attend hospital appointments. Follow up was 96%.

    Intervention

    Patient allocation was stratified by previous transurethral resection of the prostate and urine loss 1 day after catheter removal. 50 men were allocated to a PFR programme, which consisted of individual treatment in an outpatient clinic once a week for as long as incontinence persisted, up to 1 year. The training programme included …

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