2003 Volume 6 Issue 2 Pages 7-12
Two groups of patients with urinaly dysfunction (except for such cases as stenosis of urethera) participated: eleven patients carried out pelvic muscle training starting two weeks after surgery (Group A), and twenty eight patients did not carry out them (Group B). The revised tool based on International Prostate Symptom Score (IPSS) was employed for evaluating the effectiveness of pelvic muscle training. It consisted of eight items regarding “sense of micturition” was added to the seven items on IPSS. Significant differences were founded for the following items :“residual feeling after urination”;“frequent urination of less than two hours”; and “sudden stoppage of stream”. Especially, “the residual feeling after urination” as shown to have significantly improve more at the time of discharge, and one and three months after discharge as compared to the control group. Moreover, a positive influence onto daily life was found, as there were no patients who gave up traveling from the experimental group. This can be evaluated as a meaning of the training.
The results suggest that a need of further guiding pelvic floor muscle training to improve urinary dysfunction following radical prostatectomy.