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ISSN: 1734-4948
Advances in Rehabilitation
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abstract:
Original article

Physiotherapeutic evaluation of pelvic floor muscle function in patients after radical prostatectomy using ultrasound imaging: retrospective study

Bartłomiej Burzyński
1, 2
,
Tomasz Jurys
1
,
Jakub Ryszawy
3
,
Paweł Rajwa
3, 4
,
Marcin Trzewik
5
,
Piotr Bryniarski
3
,
Marcin Życzkowski
6

  1. Department of Rehabilitation, Faculty of Health Scienes in Katowice, Medical University of Silesia in Katowice, Poland
  2. Urosilesia Urological, Gynaecological and Proctological Centre of Physiotherapy, Zabrze, Poland
  3. Department of Urology, Medical University of Silesia in Katowice, Zabrze, Poland
  4. Department of Urology, Medical University of Vienna, Vienna, Austria
  5. Department of Urology, Silesian Centre of Urology “Urovita”, Chorzow, Poland
  6. Clinic of Urology, Institute of Medical Sciences, University of Opole, Opole, Poland
Advances in Rehabilitation
Online publish date: 2024/07/09
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Introduction
Urological physiotherapy is an effective treatment for post-radical prostatectomy (RP) lower urinary tract disorders, which significantly impairs patients’ quality of life. Our study aimed to evaluate, with ultrasound examination, pelvic floor muscle function in patients who have undergone RP. Furthermore, we analyzed factors impacting the effectiveness of urological physiotherapy.

Material and methods
We retrospectively analyzed medical records of patients who underwent physiotherapy protocole, before RP consisted of the standard examination of pelvic floor function was performed utilizing ultrasound imaging and physiotherapy treatment. In total 42 patients were included.

Results
Before physiotherapy protocole 36 (86%) patients had an incorrect muscle reaction. After physiotherapeutic treatment, incorrect reactions were observed in less than 10% of patients. The median time between first consultation and radical prostatectomy was 9.3 months. The time between physiotherapy and radical prostatectomy has a statistically significant influence on the effects of physiotherapy (p < 0.01). In addition, the time-span between radical prostatectomy and first physiotherapy consultation did not influence the functional state of the pelvic floor muscles (p = 0.47). The results show that the early commencement of exercises increases the effectiveness of the physiotherapy.

Conclusions
Ultrasound imaging is a useful tool for assessing the pelvic floor muscles activity as well as for control the correctness of exercises performed. Utilization of ultrasound imaging during physiotherapy process should be performed to assess functional diagnosis of pelvic floor muscles.

keywords:

Prostate cancer, Rehabilitation, Ultrasound imaging, Prostatectomy, Exercise therapy











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