Training pelvic muscles before prostatectomy can reduce the severity of urinary leakage following surgery, compared to usual postoperative care and instruction.

Burgio KL, Goode PS, et al. Preoperative biofeedback assisted behavioral training to decrease post-prostatectomy incontinence: A randomized controlled trial. J Urol. 2006; 175(1): 196-201.

This randomized controlled trial included 125 men aged 53 to 68 years old who were undergoing radical prostatectomy for prostate cancer. This study compared a sample of participants having one preoperative session of biofeedback assisted behavioral training in addition to home pelvic floor exercises versus a group of participants getting usual care consisting of simple postoperative instructions to interrupt the urine stream. Results of the study showed the behavioral training group had significantly decreased time to continence, decreased urine loss with coughing (22% vs 51%), sneezing (26% vs 48.9%) and getting up from lying down (14% vs 31.9%). In conclusion, preoperative behavioral training for the pelvic floor can decrease incontinence severity following a radical prostatectomy.

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