Early postoperative pelvic-floor biofeedback improves erectile function in men undergoing radical prostatectomy: a prospective, randomized, controlled trial

International Journal of Impotence Research
C ProtaM Srougi

Abstract

Erectile dysfunction (ED) and urinary incontinence are common complications following radical prostatectomy (RP). Although pelvic-floor biofeedback training (PFBT) may improve urinary continence following RP, its effects on the recovery of potency are unknown. Fifty-two patients selected for RP were prospectively randomized for a treatment group (n=26) receiving PFBT once a week for 3 months and home exercises or a control group (n=26), in which patients received verbal instructions to contract the pelvic floor. Erectile function (EF) was evaluated with the International Index of Erectile Function-5 (IIEF-5) before surgery and 1, 3, 6 and 12 months postoperatively. Patients were considered potent when they had a total IIEF-5 score>20. Continence status was assessed and defined as the use of no pads. Groups were comparable in terms of age, body mass index, diabetes, pathological tumor stage and neurovascular bundle preservation. A significant reduction in IIEF-5 scores was observed after surgery in both groups. In the treatment group, 8 (47.1%) patients recovered potency 12 months postoperatively, as opposed to 2 (12.5%) in the control group (P=0.032). The absolute risk reduction was 34.6% (95% confidence interval (CI): 3.8-64%)...Continue Reading

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Citations

Nov 8, 2014·Indian Journal of Urology : IJU : Journal of the Urological Society of India·Patrick WhelanAjay Nehra
Jan 21, 2015·The Cochrane Database of Systematic Reviews·Coral A AndersonCathryn M A Glazener
Feb 28, 2019·American Journal of Human Biology : the Official Journal of the Human Biology Council·Nicole D S GrunstraPhilipp Mitteroecker
Dec 7, 2019·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Gislano Heverton Soares de LiraErnani Luis Rhoden
Jun 29, 2018·Journal of Physical Therapy Science·Carla Elaine LaurienzoJoão Luiz Amaro

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