REVIEW PAPER
Physiotherapeutic treatment for urinary incontinence in men after radical prostatectomy
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1
Studenckie Koło Naukowe przy Katedrze i Klinice Rehabilitacji Śląskiego Uniwersytetu Medycznego w Katowicach
2
Katedra Elektrokardiologii, Klinika Elektrokardiologii i Niewydolności Serca Śląskiego Uniwersytetu Medycznego w Katowicach
3
Katedra i Klinika Rehabilitacji Śląskiego Uniwersytetu Medycznego w Katowicach
Corresponding author
Tomasz Jurys
Studenckie Koło Naukowe przy Katedrze i Klinice Rehabilitacji Śląskiego Uniwersytetu Medycznego w Katowicach
Med Og Nauk Zdr. 2019;25(3):144-148
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ABSTRACT
Introduction and objective:
Despite well-developed surgical techniques and low mortality as the result of radical prostatectomy, there still occur serious post-operative complications, such as urinary incontinence and erectile dysfunction. It is very important to introduce appropriate physiotherapeutic management in the treatment of these complications. The aim of the study is to present physiotherapeutic management of urinary incontinence after the procedure of radical prostatectomy, based on the available literature, and bring closer an understanding of the problem of prostate cancer, its diagnostics and treatment.
Brief description of the state of knowledge.:
Prostate cancer is the second most common malignant cancer in Polish males. Over the last three decades, its detectability has increased nearly five times. The prognoses demonstrate that during the nearest 15 years, prostate cancer will become the most frequent malignant cancer among males in Poland. The diagnosis includes the measurement of the serum PSA level, palpation per rectum, ultrasonographic examination and prostate biopsy. The main treatments for prostate cancer are conservative treatment, surgical treatment, hormonal treatment and radiotherapy. Radical prostatectomy is considered the most effective method of treatment for cancer limited to the prostate. Nevertheless, it leads to two serious complications, such as urinary incontinence and impotence. An early introduction of a proper physiotherapeutic process allows an improvement in the quality of life of patients with urinary incontinence and erectile dysfunction.
Conclusion:
Despite constant improvement in the techniques of radical prostatectomy, the risk of complications, such as
urinary incontinence or erectile dysfunction still remain high. Therefore, the process of physiotherapy should be an integral element of the complex treatment of patients suffering from prostate cancer.
REFERENCES (21)
1.
Sołtysiak Z, Burzyński B, Gołba A, Kwiatkowska K. Role of physiotherapy after urological surgery [in Polish]. W: Olszówka M, Zdunek B. (red.). Współczesne problemy fizjoterapii, Wydawnictwo Naukowe TYGIEL; 2016, s. 106–114.
2.
Borowicz A, Wieczorkowska-Tobis K. Physiotherapy treatment in urinary incontinence [in Polish]. Gerontol Pol. 2010; 18(3): 114–119.
3.
Dębiński P, Niezgoda T. Classification of urinary incontinence and methods of treatment [in Polish]. Prz Urol. 2014; 87(5): 1–6.
4.
Wallis CJ, Herschorn S, Saskin R, Su J, Klotz LH, Chang M i wsp. Complications after radical prostatectomy or radiotherapy for prostate cancer: results of a population-based, propensity score-matched analysis. Urology. 2015; 85(3): 621–627. https:// doi: 10.1016/j.urology.2014.11.037.
5.
Santos NA, Saintrain MV, Regadas RP, Da Silvera RA, De Menezes FJC. Assessment of Physical Therapy Strategies for Recovery of Urinary Concinence after Prostatectomy. Asian Pac J Cancer Prev. 2017; 18(1): 81–86.
6.
Sooriakumaran P, Nyberg T, Akre O, Haendler L, Heus I, Olsson M i wsp. Comparative effectiveness of radical prostatectomy and radiotherapy in prostate cancer: observational study of mortality outcomes. BMJ. 2014; 348: 1–13.
https://doi: 10.1136/bmj.g1502.
7.
Sosnowski R, Kuczkiewicz O, Moskal K, Kuncewicz P. Assessment of the level of knowledge of men about lower urinary track related symptoms [in Polish]. Prz Urol. 2017; 105(5): 1–7.
8.
Chapple CR, MacDiarmid SA, Patel A. Urodynamics Made Easy. Third Edition. Elsevier. 2009.
9.
Kryst P. Choroby gruczołu krokowego. W: Borkowski T, Czaplicki M, Demkow T, Dobroński P, Ferenz T, Gołębiewski J i wsp. (red.). Wydawnictwo Lekarskie PZWL. Urologia. Podręcznik dla studentów medycyny, Wydawnictwo Lekarskie PZWL; 2006. s. 167–192.
10.
Didkowska J, Wojciechowska U, Olasek P. Nowotwory złośliwe w Polsce w 2015 roku. Ministerstwo Zdrowia; 2017.
11.
Hemminki K. Familial risk and familial survival in prostate cancer. World J Urol. 2012; 30(2): 143–148. https:// doi: 10.1007/s00345–011–0801–1.
12.
Mottet N, Van der Bergh RCN, Briers E, Bourke L, Conford P, De Santis M I wsp. EAU-ESTRO-ESUR-SIOG Guidelines of Prostate Cancer. EAU. 2018.
13.
Albertsen PC. Observational studies and the natural history of screen- -detected prostate cancer. Curr Opin Urol. 2015; 25(3): 232–237. https:// doi: 10.1097/MOU.0000000000000157.
14.
Tewari A, Sooriakumaran P, Block DA, Seshadri-Kreaden U, Herbert AE, Wiklund P. Positive surgical margin and perioperative complication rates of primary surgical treatments for prostate cancer: a systematic review and meta-analysis comparing retrotubic, laparoscopic, and robotic prostatectomy. Eur Urol. 2012; 62(1): 1–15.
15.
Pagliarulo V, Bracarda S, Eisenberger MA, Mottet N, Schröder FS, Sternberg CN i wsp. Contemporary role of androgen deprivation therapy for prostate cancer. Eur Urol. 2012; 61(1): 11–25.
https://doi: 10.1016/j. eururo.2011.08.026.
16.
Gandaglia G, Suardi N, Cucchiara V, Bianchi M, Shariat SF, Roupret H i wsp. Penile rehabilitation after radical prostatectomy: does it work? Trans Androl Urol. 2015; 4(2): 110–123.
17.
Matuszewski M. Modern methods of treatment od urinary incontinence in men [in Polish]. Prz Urol. 2013; 77(1): 1–3.
18.
Burkhard FC, Bosch JLHR, Cruz F, Lemack GE, Nambiar AK, Thiruchelvam N i wsp. EAU Guidelines on Urinary Incontinence in Adults. EAU. 2018.
19.
Kania P, Wośkowiak P, Salagierski M. Perseveration of continence in radical prostatectomy patients: a laparoscopic surgeon’s perspective. Cent European J Urol. 2019; 72: 32–38.
https://doi: 10.5173/ceju.2019.1765.
20.
Sołtysiak-Gibała Z, Schmidt M, Gibała P, Knapik M, Burzyński B. Biofeedback in therapy of urinary incontinence [in Polish]. W: Skrzypulec- -Plinta V, Drosdzol-Cop A, Fuchs A. (red.). Frapujące zagadnienia z zakresu ginekologii, położnictwa i seksuologii, Śląski Uniwersytet Medyczny; 2018. s. 73–79.
21.
Marsik G, Jurys T. Sexuality and sexual rehabilitation of people with a physical disability [in Polish]. W: Skrzypulec-Plinta V, Drosdzol-Cop A, Fuchs A. (red.). Frapujące zagadnienia z zakresu giekologii, położnictwa i seksuologii, Śląski Uniwersytet Medyczny; 2018. s. 231–240.