REHABILITATION OF PATIENTS AFTER RADICAL PROSTATECTOMY

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Abstract

According to the data obtained by Russian and foreign investigators, the major complication after radical prostatectomy (RPE) is urinaryincontinence that is recorded in 20-30% of cases.

Objective. To improve the results of surgical treatment in patients with prostate cancer, by developing and introducing a well-rounded post-operative rehabilitation program.

Subjects and methods. Seventy-four patients who were treated at the urology clinic, Bashkir State Medical University, and underwent RPEin 2005 to 2007 have been examined; 27 of them were diagnosed as having urinary incontinence (UI). After discharge from the clinic, acontrol group received rehabilitative treatment at the sanatorium “Krasnousolsk” of the Republic of Bashkortostan.

 Results and discussion. Therapeutic exercises and pelvic floor electrostimulation halve the number of day urinations and paddings used inpatients with UI, by increasing the bladder capacity from 138.2±12.7 to 196±11.2 ml and improving the trophism of the bladder neck andurethra in the sphincteral area.

 

About the authors

V. N. Pavlov

Department of Urology with a Course of Institute of Postgraduate Education, Bashkir State Medical University, Russian Agency forHealth Care, Ufa

Author for correspondence.
Кафедра урологии с курсом ИПО ГОУ ВПО Russian Federation

A. R. Zagitov

Department of Urology with a Course of Institute of Postgraduate Education, Bashkir State Medical University, Russian Agency forHealth Care, Ufa

Кафедра урологии с курсом ИПО ГОУ ВПО Russian Federation

A. A. Kazikhinuro

Department of Urology with a Course of Institute of Postgraduate Education, Bashkir State Medical University, Russian Agency forHealth Care, Ufa

Кафедра урологии с курсом ИПО ГОУ ВПО Russian Federation

V. Z. Galimzyanov

Department of Urology with a Course of Institute of Postgraduate Education, Bashkir State Medical University, Russian Agency forHealth Care, Ufa

Кафедра урологии с курсом ИПО ГОУ ВПО Russian Federation

R. R. Ishemgulov

Department of Urology with a Course of Institute of Postgraduate Education, Bashkir State Medical University, Russian Agency forHealth Care, Ufa

Кафедра урологии с курсом ИПО ГОУ ВПО Russian Federation

A. T. Mustafin

Department of Urology with a Course of Institute of Postgraduate Education, Bashkir State Medical University, Russian Agency forHealth Care, Ufa

Кафедра урологии с курсом ИПО ГОУ ВПО Russian Federation

L. M. Kutliyarov

Department of Urology with a Course of Institute of Postgraduate Education, Bashkir State Medical University, Russian Agency forHealth Care, Ufa

Кафедра урологии с курсом ИПО ГОУ ВПО Russian Federation

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