Estudio randomizado sobre continencia urinaria postprostatectomía radical con rehabilitación perineal kiesica previa

Abstract

OBJECTIVES: Urinary incontinence is one of the main complications after radical prostatectomy (RP). Preoperative kinetic physiotherapy could be useful as a preventive treatment of these complication. The objective of this work is to demonstrate the usefulness of preoperative perineal kinetic physiotherapy for early recovery of urinary continence after radical prostatectomy. METHODS: Randomized controlled clinical trial. 38 patients were divided into groups of 19 before radical prostatectomy. The first group (K) received preoperative kinesic treatment whereas the second group (NK) did not (control group). Urinary continence was evaluated at 14, 30 and 60 days after catheter retrieval. RESULTS: There were not epidemiological or tumor biology differences between groups. The percentages of continent patients in group K at 14,30 and 60 days were 47.36%, 47.36% and 78.9% respectively, whereas in the NK group where 47.36%, 47.36%, and 89.4% respectively (p > 0.05). CONCLUSIONS: Kinesic perineal exercises before radical prostatectomy did not diminish the times of urinary continence recovery or its appearance.