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The incidence of urinary incontinence after radical prostatectomy is 0.8 to 87%. This category of patients has pelvic floor muscle weakness and reduced perineal reflex. The treatment of these patients uses a pelvic floor exercise system that is to enhance muscle tone and to develop strong reflex contraction in response to a sudden rise in intraabdominal pressure. Pelvic floor muscle training belongs to first-line therapy for urinary incontinence occurring within 6 to 12 months after prostatectomy. The ability to control pelvic floor muscle knowingly and to train them allows one not only to increase the closing capability of sphincter mechanisms, but also to suppress involuntary detrusor contractions. We used this method in 9 patients who had undergone radical prostatectomy. The duration of pelvic floor muscle training under control was up to 25 weeks. During this period, the symptoms of incontinence were relieved. No contraindications or adverse reactions have put this method in first-line therapy for post-prostatectomy urinary incontinence.

Об авторах

Ю. Л. Демидко
Урологическая клиника ММА им. И.М. Сеченова

Л. М. Рапопорт
Урологическая клиника ММА им. И.М. Сеченова

М. Е. Чалый
Урологическая клиника ММА им. И.М. Сеченова

Е. А. Безруков
Урологическая клиника ММА им. И.М. Сеченова

Д. Г. Цариченко
Урологическая клиника ММА им. И.М. Сеченова

Л. С. Демидко
Урологическая клиника ММА им. И.М. Сеченова

А. З. Винаров
Урологическая клиника ММА им. И.М. Сеченова

А. А. Левко
Урологическая клиника ММА им. И.М. Сеченова

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Для цитирования:

Демидко Ю.Л., Рапопорт Л.М., Чалый М.Е., Безруков Е.А., Цариченко Д.Г., Демидко Л.С., Винаров А.З., Левко А.А. ТРЕНИРОВКА МЫШЦ ТАЗОВОГО ДНА В ЛЕЧЕНИИ НЕДЕРЖАНИЯ МОЧИ ПОСЛЕ РАДИКАЛЬНОЙ ПРОСТАТЭКТОМИИ. Онкоурология. 2010;6(1):45-49.

For citation:

Demidko Y.L., Rapopert L.M., Chalyi M.E., Bezrukov E.A., Tsarichenko D.G., Demidko L.S., Vinarov A.Z., Levko A.A. PELVIC FLOOR MUSCLE TRAINING IN THE TREATMENT OF URINARY INCONTINENCE AFTER RADICAL PROSTATECTOMY. Cancer Urology. 2010;6(1):45-49. (In Russ.)

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