The Effects of Pilates in Muscle Strength of the Pelvic Floor as Treatment of Post Prostatectomy Urinary Incontinence

Not Applicable

Completed

• Conditions: Urinary Incontinence; Prostate Cancer
• Interventions: Other: PFMT and AES; Other: Pilates; Other: Control

• Registration Number: NCT02645136
• Lead Sponsor: Universidade Estadual de Londrina

Brief Summary

The purpose of this study is to compare the efficacy between a Pilates exercise program and a Pelvic Floor Muscle Training (PFMT) protocol combined with anal electrical stimulation (AES) in muscular pressure strength of the pelvic floor as conservative treatment of urinary incontinence after prostatectomy.

Detailed Description

This randomized clinical trial includes 115 individuals with urinary incontinence one month after radical prostatectomy. One physiotherapist, with experience in urogynecology, was responsible for all the assessments. muscular pressure strength of the pelvic floor, 24-hour pad test and the International Consultation on Incontinence Questionnaire - Short Form (ICIQ-SF) were the variables evaluated.

The subjects were allocated in one of three treatment groups (G1: Pilates; G2: anal electrical stimulation combined with pelvic floor muscle training and G3: Control Group).

Study Timeline

• Study Start: 2014-01
• Primary Completion: 2015-04
• Study Completion: 2015-07
• Status Verified: 2015-12
• Study First Submitted: 2015-12-27
• Study First Submitted QC: 2015-12-30
• Last Update Submitted: 2015-12-30
• Study First Posted: 2016-01-01
• Last Update Posted: 2016-01-01

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Male
• Target Recruitment: 115

Inclusion Criteria

• Volunteers between 50 and 75 years old;
• Submitted to radical prostatectomy;
• With complaints of urinary incontinence;
• That completed one month of surgery;

Exclusion Criteria

• History of incontinence;
• Transurethral resection of the prostate;
• Diagnosis of neurological or cognitive impairment;
• Subjects who were unable to attend treatment sessions, due to distance or physical limitations.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
PFMT and AES	PFMT and AES	For also 10 weeks, the participants went trough anal electrical stimulation (AES) associated with Pelvic Floor Muscle Training (PFMT), supervised by a specialized physiotherapist. All subjects received orientation to perform the same pelvic floor exercises at home.
PILATES	Pilates	Weekly Pilates sessions, guided by a specialized physiotherapist. The duration of the treatment was 10 weeks, and each session lasted 45 to 50 minutes. All subjects received instruction to perform specific daily home exercises.
Control	Control	Control Group

Primary Outcome Measures

Name	Time	Method
improves muscle strength of the pelvic floor at 3 months	baseline and 3 months	Evaluation of the contraction capacity of the pelvic floor using perineometer (Myomed 932 Enraf/Nonius®)

Secondary Outcome Measures

Name	Time	Method
Change in the International Consultation of Urinary Incontinence- Short Form questionnaire at 3 months	baseline and 3 months
Change in Pad test 24 hours at 3 months	baseline and 3 months