Superiority of the combination of electrostimulation and biofeedback on self-administered physical exercises for post radical prostatectomy urinary incontinence


Alessandro Sciarra*, Stefano Salciccia, Alessandro Gentiluccia, Susanna Cattarino, Paolo Casale, Francesco Del Giudice and Gianna Mariotti

Urinary Incontinence (UI) after Radical Prostatectomy (RP) is a relevant side effect, able to early develop after catheter removal and to influence the quality of life of men. Although technical improvements in RP, this surgical procedure remains significantly associated to the development of UI. Rates significantly varied from 5% to 40%, depending on the characteristics of the populations and on the methods used (Burkhard et al., 2020, Dubbelman et al., 2010). The evaluation of UI in patients should always combine objective quantitative and individual subjective parameters. These two estimations often do not correspond, with patients that consider at low impact on their social life a significant quantitative leakage of urine and others that consider a significant symptom few drops. Pad tests are probably the most objective method to quantify leakage in UI, whereas questionnaires can describe the impact on patient’s quality of life. These two tools should be homogeneously used in clinical trials on post RP UI so to have comparable results.

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