Electrical Stimulation in Men With Urinary Incontinence After Radical Prostatectomy
Electrical Stimulation
About this trial
This is an interventional treatment trial for Electrical Stimulation focused on measuring perineal electrical stimulation, urinary incontinence, radical prostatectomy
Eligibility Criteria
Inclusion Criteria:
- 18-80 years old
- Men with RP with incontinence over >8 gram / 24 hours and no residual cancer after RP on pathological examination.
- Patients within 2 weeks to 1 year after catheter removal
- Willingness to complete and do the quality of life scale
- Understanding procedures, benefits, and possible side effects
- Being able to give written, informed consent
Exclusion Criteria:
- UI history before RP
- History of conservative treatment after RP including ES
- Prolonged indwelling urethral catheterization (more than 15 days)
- Previous urological surgery history
- Transurethral resection of the prostate due to benign prostatic hyperplasia
- Patients receiving radiotherapy
- Presence of urethral stricture, and urinary tract infection
- Heart failure, presence of a pacemaker, implanted defibrillator
- Use of drugs that may affect bladder function (antimuscarinic, duloxetine, a tricyclic antidepressant, etc.)
- History of neurogenic bladder, peripheral or central neurological pathology
- Inability to attend treatment sessions due to distance or physical limitations
Sites / Locations
- Hakan AlkanRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
Perineal electrical stimulation (Stimulation group)
Control group
Perineal electrical stimulation will be performed in lithotomy position via a stimulation device (Enraf Nonius Myomed 632) with perineal surface electrodes. Perineal electrical stimulation will be performed three days a week, 20 minutes a day, a total of 24 sessions for 8 weeks. The stimulation parameters are frequency at 50 Hz, a 5-10s work-rest cycle, and a 300ms pulse width. The symmetric biphasic pulse wave could be delivered over a range of 1-100mA (according to the patient's discomfort level feedback). In this application, three surface electrodes which had 2 cm diameters were used; two electrodes symmetrically at the perianal region (medial to ischial tuberosity); and one electrode at the leg (ground-neutral electrode). Surface electrodes will be used individually for each patient. Perineal electrical stimulation sessions will be performed by an experienced urogynecology rehabilitation nurse.
Subjects in the control group will go through baseline assessment and will not receive treatment or instructions to perform pelvic floor exercises at home. After 8 weeks they will be submitted to the final assessment. After the final evaluation, they will be invited to start treatment in the urogynecological rehabilitation unit.