title: Whole body vibration therapy on a treatment bed as additional means to treat postprostatectomy urinary incontinence.
abstract: An innovative form of whole body vibration therapy on a treatment bed (Evocell®) to fight against the disabling and isolating symptom of postoperative incontinence in a prostate cancer patient is presented. A supervised program with outpatient active pelvic floor training and a novel form of synchronous high-intensity whole body vibration therapy using the Evocell® device was performed in a patient with postprostatectomy stress urinary incontinence. The patient had previously failed regular pelvic floor exercise. During the intervention, namely a whole body vibration treatment in a lying position on a treatment bed, the patient performed active and passive pelvic floor exercises under professional guidance. Over a period of 6 weeks after starting treatment, the patient regained continence (usage of 1 safety pad). Furthermore, his ability to work increased (return to work) and his ability to attend social activities improved.
authors.affiliation: Department of Physical Medicine and Rehabilitation, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria. richard.crevenna@meduniwien.ac.at.
authors.forename: Richard
authors.initials: R
authors.lastname: Crevenna
authors.affiliation: Department of Physical Medicine and Rehabilitation, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.
authors.forename: Fadime
authors.initials: F
authors.lastname: Cenik
authors.affiliation: Department of Urology, Medical University of Vienna, Vienna, Austria.
authors.forename: Markus
authors.initials: M
authors.lastname: Margreiter
authors.affiliation: Department of Internal Medicine I/Oncology, Medical University of Vienna, Vienna, Austria.
authors.forename: Maximilian
authors.initials: M
authors.lastname: Marhold
authors.affiliation: Department of Physical Medicine and Rehabilitation, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.
authors.forename: Tanya
authors.initials: T
authors.lastname: Sedghi Komanadj
authors.affiliation: Department of Physical Medicine and Rehabilitation, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.
authors.forename: Mohammad
authors.initials: M
authors.lastname: Keilani
mesh_terms: D000230:Adenocarcinoma / Q000473:pathology / Q000601:surgery*; D001513:Beds; D003131:Combined Modality Therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D026741:Physical Therapy Modalities; D011183:Postoperative Complications / Q000628:therapy*; D011468:Prostatectomy; D011471:Prostatic Neoplasms / Q000473:pathology / Q000601:surgery*; D014549:Urinary Incontinence / Q000628:therapy*; D014732:Vibration / Q000627:therapeutic use*
keywords: Mechanical transduction; Prostate cancer; Treatment; Urinary incontinence; Whole body vibrations