The Effect of Group Preoperative Pelvic Floor Training on Transient Urinary Incontinence After Holmium Laser Enucleation of the Prostate: A Prospective Cohort Study
University of California, San Francisco
Summary
The main goal of this study is to see if group pelvic floor training before surgery can help prevent urinary incontinence after Holmium laser enucleation of the prostate (HoLEP) surgery. The study has the potential to inform preoperative intervention strategies for managing incontinence after HoLEP.
Description
Preoperative pelvic floor training (PFT) may improve early urinary incontinence after prostate surgery. Group-based training potentially provides additional benefits such as cost-benefit, social support, and motivation. However, the efficacy of group preoperative PFT has not been reported. This study aims to determine the effect of group preoperative PFT on transient urinary incontinence after HoLEP in a prospective cohort of patients and to identify any potential predictors of transient urinary incontinence after HoLEP. In this study, the investigators will recruit approximately 50 patients…
Eligibility
- Age range
- 50–90 years
- Sex
- Male
- Healthy volunteers
- No
Inclusion Criteria: * Consecutive patients with a diagnosis of BPH with a plan to undergo HoLEP. * Between the age of 50-90. * Ability to understand and provide informed consent. Exclusion Criteria: * Patients whom inability to carry out PFT protocol. * Patients unwilling or unable to complete follow up care. * Severe urinary incontinence due to a history of neurological diseases such as a cerebrovascular accident or spinal cord injuries. * Patients whom inability to read and understand the English language.
Interventions
- BehavioralGroup preoperative pelvic floor training
Patients will receive PFT from a trained physical therapist delivered in a group setting of 8-10 people. The investigators allow patients in the PFT group to attend group classes as many times as they want prior to surgery to see if the frequency of training has an effect on outcomes. The treatment group could be required to go to at least 1 group class 4 weeks prior to their procedure, but they could be welcome to attend more if they want further practice and review of the material. A 45-minute group class with basic PFT guidelines could be presented weekly during the study.
Location
- University of California, San FranciscoSan Francisco, California