Relationships between perioperative physical activity and urinary incontinence after radical prostatectomy: an observational study

BMC Urology

Research Article

Andrew D Hirschhorn¹  Sean F Mungovan¹  Bregtje P Huijbers²  Manish I Patel³ 

[1] The Clinical Research Institute, Westmead Private Physiotherapy Services, Sydney, Australia;The Clinical Research Institute, Westmead Private Physiotherapy Services, Sydney, Australia;Center for Human Movement Sciences, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands;Urological Cancer Centre and The University of Sydney, Sydney, Australia;

关键词: Prostatectomy;    Urinary incontinence;    Exercise;    Pelvic floor muscle training;   

DOI  :  10.1186/1471-2490-13-67

 received in 2013-10-28, accepted in 2013-11-28,  发布年份 2013

来源: Springer

【 摘 要 】

BackgroundHigher physical activity levels are continence-protective in non-prostate cancer populations. Primary aims of this study were to investigate changes in physical activity levels over the perioperative period in patients having radical prostatectomy, and relationships between perioperative physical activity levels and post-prostatectomy urinary incontinence.MethodsA prospective analysis of patients having radical prostatectomy and receiving perioperative physiotherapy including pelvic floor muscle training and physical activity prescription (n = 33). Physical activity levels were measured using the International Physical Activity Questionnaire and/or the SenseWear Pro3 Armband at four timepoints: before preoperative physiotherapy, the week before surgery, and 3 and 6 weeks postoperatively. Urinary incontinence was measured at 3 and 6 weeks postoperatively using a 24-hour pad test and the International Consultation on Incontinence Questionnaire – Urinary Incontinence Short Form (ICIQ).ResultsPhysical activity levels changed significantly over the perioperative period (p < 0.001). At 6 weeks postoperatively, physical activity levels did not differ significantly from baseline (p = 0.181), but remained significantly lower than the week before surgery (p = 0.002). There was no significant interaction effect between preoperative physical activity category and time on the 24-hour pad test (p = 0.726) or ICIQ (p = 0.608). Nor were there any significant correlations between physical activity levels and the 24-hour pad test and ICIQ at 3 or 6 weeks postoperatively.ConclusionsThis study provides novel data on perioperative physical activity levels for patients having radical prostatectomy. There was no relationship between perioperative physical activity levels and post-prostatectomy urinary incontinence, although participants had high overall preoperative physical activity levels and low overall urinary incontinence.

【 授权许可】

Unknown   
© Mungovan et al.; licensee BioMed Central Ltd. 2013. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.