Effects of electrophysiological technique combined with pelvic floor muscle training on the rapid recovery of urinary incontinence after electroresection of prostatic hyperplasia
10.3969/j.issn.1009-8291.2023.09.005
- VernacularTitle:电生理技术联合盆底肌训练治疗前列腺增生电切术后尿失禁的疗效
- Author:
Lizhong YAO
1
;
Yan GE
2
;
Jiuzhi LI
1
;
Yukui NAN
1
Author Information
1. Urology Center, Xinjiang Uygur Autonomous Region People’s Hospital, Urumqi 830000
2. Department of Ultrasound, Affiliated Cancer Hospital of Xinjiang Medical University, Urumqi 830000, China
- Publication Type:Journal Article
- Keywords:
electrophysiology;
pelvic floor muscle training;
benign prostatic hyperplasia;
urinary incontinence;
enhanced recovery after surgery
- From:
Journal of Modern Urology
2023;28(9):755-758
- CountryChina
- Language:Chinese
-
Abstract:
【Objective】 To investigate the clinical effects of electrophysiological technique combined with pelvic floor muscle training on urinary incontinence after electroresection of benign prostatic hyperplasia (BPH) based on the concept of enhanced recovery after surgery (ERAS). 【Methods】 A total of 86 patients with urinary incontinence treated with electroresection of BPH during Oct.2019 and Feb.2022 were randomly divided into control group and observation group, with 43 cases in either group. All patients received health education plus pelvic floor muscle training, and the observation group also received electrophysiological treatment. The differences in the indexes before and after treatment were compared between the two groups. 【Results】 There were no significant differences in the 1 h pad test, ICIQ-SF score, maximum urinary flow rate (Qmax), post void residual (PVR), International Prostate Symptom Score (IPSS), 24 h urinary incontinence frequency, and Urinary Incontinence Quality of Life Questionnaire Score (I-QoL) before treatment between the two groups (P>0.05). However, after treatment, Qmax and I-QoL score were significantly higher in the observation group than in the control group, while the other 5 indicators were significantly lower in the observation group than in the control group (all P<0.05). The total clinical effective rate was significantly higher in the observation group than in the control group (P<0.05). 【Conclusion】 Electrophysiological technique combined with pelvic floor muscle training can effectively improve the symptoms of urinary incontinence and promote the recovery of urinary control function, which is in line with the concept of ERAS and is worthy of further research and promotion.