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Acta clinica Croatica, Vol. 61. No. Supplement 3, 2022.

Professional paper

https://doi.org/10.20471/acc.2022.61.s3.10

Pelvic Rehabilitation for Urinary Incontinence after Radical Prostatectomy

Tvrtko Hudolin ; Department of Urology, University Hospital Centre Zagreb, Zagreb, Croatia
Helena Kolar Mitrović ; Department of Rheumatology and Rehabilitation, University Hospital Centre Zagreb, Zagreb, Croatia
Mirko Bakula ; Department of Urology, University Hospital Centre Zagreb, Zagreb, Croatia
Tomislav Kuliš ; Department of Urology, University Hospital Centre Zagreb, Zagreb, Croatia
Luka Penezić ; Department of Urology, University Hospital Centre Zagreb, Zagreb, Croatia
Toni Zekulić ; Department of Urology, University Hospital Centre Zagreb, Zagreb, Croatia
Ilija Jurić ; Department of Urology, University Hospital Centre Zagreb, Zagreb, Croatia
Željko Kaštelan ; Department of Urology, University Hospital Centre Zagreb, Zagreb, Croatia

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Abstract

Radical prostatectomy (RP) performed by open, laparoscopic, or robotic approach is
considered the gold standard for localized prostate cancer (PCa). However, it carries the risk of postprostatectomy
urinary incontinence (UI) and erectile dysfunction (ED) which significantly reduce
patients’ satisfaction with surgery and quality of life (QoL), therefore it is important to decrease the
possibility or severity of these complications to a minimum.
There are several preoperative prognostic factors such as urethral length and closing pressure obtained
by magnetic resonance imaging and profilometry, as well as several variations in the surgical approach
such as preservation of the neurovascular bundle (NVB) and puboprostatic ligaments, sparing
or reconstruction of bladder neck, Retzius-sparing approach, and meticulous surgical dissection, used
to predict or prevent unwanted side effects of RP. In addition, there are postoperative methods that
can help reduce complications. In this review, we will present the role of pelvic rehabilitation with an
emphasis on pelvic floor muscle training (PFMT) in reducing consequences of radical surgery.

Keywords

Radical Prostatectomy; Urinary Incontinence; Pelvic Rehabilitation; Pelvic Floor Muscle Training

Hrčak ID:

286371

URI

https://hrcak.srce.hr/286371

Publication date:

1.10.2022.

Article data in other languages: croatian

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