title: Reducing urine leakage after radical retropubic prostatectomy: pelvic floor exercises, magnetic innervation or no treatment? A quasi-experimental study.
abstract: BACKGROUND
  In Italy, nurses can use pelvic floor muscle exercises (PFMEs) and extracorporeal magnetic innervation (ExMI) to treat urinary incontinence after radical retropubic prostatectomy (RRP). The efficacy of these treatments remains unclear.
  
  
  OBJECTIVE
  To compare PFMEs, ExMI, in the management of post-RRP urinary incontinence.
  
  
  METHODS
  This study compared PFMEs versus no treatment in reducing bladder continence difficulties, and PFMEs versus ExMI in reducing urine leakage. A total of 87 patients were treated with PFMEs, 23 with ExMI; 22 refused rehabilitation (control group).
  
  
  RESULTS
  Three months after RRP, both interventions reduced the International Prostate Symptom Score, when compared to control group. After 6 months, no significant differences between the treatments were found (p = .8346). After a complete ExMI treatment (6 weeks), 63.88% lost less than 10 grams of urine per day (32.73% in the PFMEs group, p < .0001).
  
  
  CONCLUSIONS
  PFMEs are useful up to the 3rd month after surgery; ExMI reduces leakages faster than PFMEs.
authors: San Paolo Bachelor School of Nursing, San Paolo Hospital, Milan, Italy. stefano.terzon@ao-sanpaolo.it
authors: Stefano
authors: S
authors: Terzoni
authors: Emanuele
authors: E
authors: Montanari
authors: Cristina
authors: C
authors: Mora
authors: Cristian
authors: C
authors: Ricci
authors: Anne
authors: A
authors: Destrebecq
mesh_terms: D000368:Aged; D005081:Exercise Therapy; D006801:Humans; D008280:Magnetics; D008297:Male; D008875:Middle Aged; D017773:Pelvic Floor; D011183:Postoperative Complications / Q000451:nursing / Q000534:rehabilitation*; D011468:Prostatectomy / Q000451:nursing* / Q000534:rehabilitation; D019145:Rehabilitation Nursing / Q000379:methods; D014549:Urinary Incontinence / Q000451:nursing / Q000534:rehabilitation*