Incontinence--an aggressive approach to treatment: a case series
Abstract
Recent evidence suggests that, for some, leaking urine may be a barrier to physical activity. Although important from a lifestyle point of view, bladder problems and incontinence also affect both men and women socially, psychologically and economically. For example, it can be particularly distressing when incontinence occurs post-prostate surgery, especially if these patients were continent before surgery. This case series outlines an aggressive, innovative, exercise-based approach to the management of stress incontinence post-prostatectomy. The program attempts to enhance neuromuscular and vascular systems associated with continence, with emphasis placed on the abdominal and pelvic floor muscles. The program was undertaken by 14 incontinent post-prostatectomy patients (mean age 63.5 y, using a mean of 3.5 sanitary pads per day). The program was initiated a mean of two months post-op and had a mean duration of six months. Upon completion of the program. 10 patients were found to be completely dry with three retaining a small leakage (a few drops). The 14th could not comply with the program because of illness. The results of this study appear promising in this patient population. There are indications for further research.
How strong is the evidence?
Evidence Hub reads this as a case series, done in people. Its evidence level is 5 of 5 (Very low · case / narrative / animal / in vitro / in silico). Case reports, narrative reviews, and animal, cell or computer-model studies give the weakest evidence for human health. Reported size: 10 participants or records.
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