[Randomized study on urinary continence after radical prostatectomy with previous kinesic perineal physiotherapy].
OBJECTIVE
Urinary incontinence is one of the main complications after radical prostatectomy (RP). Preoperative kinetic physiotherapy could be useful as a preventive treatment of these complication. The objective of this work is to demonstrate the usefulness of preoperative perineal kinetic physiotherapy for early recovery of urinary continence after radical prostatectomy.


METHODS
Randomized controlled clinical trial. 38 patients were divided into groups of 19 before radical prostatectomy. The first group (K) received preoperative kinesic treatment whereas the second group (NK) did not (control group). Urinary continence was evaluated at 14, 30 and 60 days after catheter retrieval.


RESULTS
There were not epidemiological or tumor biology differences between groups. The percentages of continent patients in group K at 14, 30 and 60 days were 47.36%, 47.36% and 78.9% respectively, whereas in the NK group where 47.36%, 47.36%, and 89.4% respectively (p > 0.05).


CONCLUSIONS
Kinesic perineal exercises before radical prostatectomy did not diminish the times of urinary continence recovery or its appearance.
Tobía
Ignacio
I
Servicio de Urología, Hospital Italiano de Buenos Aires, Buenos Aires, República Argentina. ignacio.tobia@hospitalitaliano.org.ar
González
Mariano S
MS
Martínez
Pablo
P
Tejerizo
Juan C
JC
Gueglio
Guillermo
G
Damia
Oscar
O
Martí
Maria I
MI
Giudice
Carlos A
CA
D000230:Adenocarcinoma / Q000601:surgery*; D000368:Aged; D005081:Exercise Therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D010502:Perineum; D011468:Prostatectomy / Q000009:adverse effects*; D011471:Prostatic Neoplasms / Q000601:surgery*; D014549:Urinary Incontinence / Q000209:etiology* / Q000517:prevention & control*