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首页> 美国卫生研究院文献>Journal of Clinical Medicine >Randomized-Controlled Trial Examining the Effect of Pelvic Floor Muscle Training in the Treatment of Stress Urinary Incontinence in Men after a Laparoscopic Radical Prostatectomy Pilot Study
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Randomized-Controlled Trial Examining the Effect of Pelvic Floor Muscle Training in the Treatment of Stress Urinary Incontinence in Men after a Laparoscopic Radical Prostatectomy Pilot Study

机译：随机对照试验检查腹腔镜激进前列腺切除术试点研究后男子治疗骨盆底肌训练的疗效

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Aim: The aim of this study was to assess the impact of pelvic floor muscle training (PMFT) in the treatment of stress urinary incontinence (SUI) in men after they received radical prostatectomy (RP). Methods: From November 2018 to September 2019, patients who underwent radical prostatectomy were assessed for eligibility. A total of 37 men were then randomly assigned to the experimental group (EG) and the control group (CG). The EG group received supervised exercise twice a week for 12 weeks, and the CG did not receive any intervention. To objectify the results obtained in both groups before and after the intervention, the authors assessed myostatin concentration. Moreover, the Expanded Prostate Cancer Index Composite (EPIC-26) was applied to assess the quality of life, and Beck’s Depression Inventory (BDI-II) was used to measure depression severity. Results: Study results demonstrated a statistically significant reduction of myostatin concentration in the EG following the treatment and no statistically significant differences in this parameter in the CG. In addition, a comparison of the EPIC-26 scores in the EG at the initial and final assessments revealed a statistically significant improvement in the quality of life in each domain. A comparison of the EPIC-26 scores in the CG at the initial and final assessments showed there is a statistically significant decline in quality of life in the “overall urinary problem” and “sexual” domain. A comparison of the BDI-II scores at the initial and final assessments showed a statistically significant decline in depressive symptoms in the EG and no statistically significant differences in the CG. Conclusions: PFMT is an effective treatment for urinary incontinence (UI) in men who received radical prostatectomy.
机译：目的：本研究的目的是评估骨盆底肌训练（PMFT）在接受自由基前列腺切除术（RP）后治疗男性应激尿失禁（SUI）的影响。方法：2018年11月至2019年9月，进行了接受自由基前列腺切除术的患者进行资格。然后将共37种男性随机分配给实验组（例如）和对照组（CG）。例如，委员会每周两次接受监督运动12周，CG没有收到任何干预。遵守干预前后在两组中获得的结果，作者评估了肌抑素浓度。此外，应用扩张的前列腺癌指数复合材料（EPIC-26）以评估寿命的质量，并使用贝克的抑郁库存（BDI-II）来测量抑郁严重程度。结果：研究结果表明，在治疗中，在治疗后的治疗中肌肉抑制素浓度统计学显着降低，并且在CG中没有统计学上显着的差异。此外，在初始和最终评估中的EPIC-26评分的比较显示了每个结构域中的生命质量的统计学上显着改善。在初始和最终评估中CG中CG的史诗-66评分的比较显示，“整体泌尿问题”和“性”领域的生活质量有统计学显着下降。 BDI-II评分在初始和最终评估中的比较显示了例如CG中的抑郁症状抑郁症状的统计显着下降。结论：PFMT对接受自由基前列腺切除术的男性尿失禁（UI）是有效的治疗方法。

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