SUFU 2021: Stress Incontinence Outcomes Following Robotic Prostatectomy: Interim Analysis of Novel Pelvic Floor Program

(UroToday.com) Described here is pelvic floor muscle training (PFMT) in the immediate post-prostatectomy period. Men completed specialized in-house PFMT directed by a fellowship-trained FPMRS specialist in a prostatectomy functional outcomes program (PFOP).


PFMT sessions were conducted at baseline, 3-months, 6-months, and 12-months following surgery and were supplemented by a home exercise program. An interim analysis of 13 patients (62 years) who achieved a 6-month follow-up after robotic prostatectomy was assessed. Patients completed the validated ICIQ-MLUTS and IIQ-7 questionnaires. A comparison of questionnaire items focused on stress urinary incontinence (SUI) and quality of life (QOL) was performed and these men were compared to 12 non-PFMT patients (63 years) undergoing prostatectomy. Non-PFOP patients received standard PFMT education. At a 6-month follow-up, men enrolled in PFOP demonstrated significantly improved domain scores when compared to controls.

Presented by: Jacques Farhi, David Barquin, David Rapp, The University of Virginia, Department of Urology, Charlottesville, VA, University of Virginia, School of Medicine, Charlottesville, VA

Written by: Diane K. Newman, DNP, CRNP, FAAN, BCB-PMD, Nurse Practioner and Co-Director, Penn Center for Continence and Pelvic Health Adjunct Professor of Urology in Surgery during the 2021 Society of Urodynamics, Female Pelvic Medicine & Urogenital Reconstruction (SUFU) Winter Meeting.