Professional paper
Pelvic floor muscle training after oor muscle training after radical prostatectomy
Marinela Jadanec
; Zavod za fi zikalnu medicinu i rehabilitaciju, Klinika za ginekologiju i porodništvo, Zagreb, Hrvatska
Mario Sučić
; Zavod za urologiju, Klinička bolnica „Sveti Duh“, Zagreb, Hrvatska
Abstract
Abstract
Introduction: Prostate cancer is the most common
non-cutaneous cancer in elderly men. Radical prostatectomy is the gold standard, however it damage neurovascular structures and can lead to functional defi cits
primarily in the form of incontinence and impotence.
Physiotherapy intervention performing pelvic fl oor muscle training reduces the duration and intensity of urinary
incontinence and positively infl uence on quality of the
sexual life of patients. The aim of this study was to present a case of a patient with urogenital dysfunction after
radical prostatectomy.
Elaboration: Study presents a case of a patient with
static urinary incontinence and erectile dysfunction.
Physiotherapy assessment indicates a loss of function
and strength of pelvic fl oor muscles. Physiotherapy intervention was consided of pelvic fl oor muscle training
of low, moderate and high intensity with isolated activation of the urethral and anal opening for 6 weeks. The
patient is educated to perform pelvic fl oor muscle training through functional activities and during intercourse.
After 6 weeks, there was an increase in strength and
function of pelvic fl oor muscles and absence of static
urinary incontinence and erectile dysfunction.
Conclusion: Urogenital dysfunction in men is still neglected and a major infl uence on the quality of life in the
postoperative period. The results of this case indicate a
high effi ciency of pelvic fl oor muscle training in order to
improve the quality of life of patients
Keywords
pelvic fl oor muscle training, urogenital dysfunction, men
Hrčak ID:
183273
URI
Publication date:
25.5.2017.
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