Electrical stimulation, pelvic floor muscle exercises, and urinary incontinence in post-prostatectomy patients: Controlled randomized double-blind experiment

Objectives: To verify if the electrical stimulation (ES) associated with the training of the pelvic floor muscles (PFM) as conservative treatment reduces urinary incontinence (UI) in prostatectomy men. Patients and methods: Patients with UI were randomized into two groups: PFM Exercises (PFME group) and electrical stimulation exercises more PFM (EE + EPFM group), with a weekly frequency from twice to 20 sessions. Results: Five of the 20 patients EPFM group and 10 patients in the 15 EE group + EPFM become continents, or no longer needed daily use protectors contain urine lost. Thus, the absolute risk of remaining in EPFM incontinent group was 0.75, whereas in the EE + EPFM group was 0.33. Electrical stimulation reduced the absolute risk of being incontinent at 42%. Relatively, this risk has been reduced from 56% (95% CI = 0.21 to 0.95). Conclusions: The data obtained in this study showed that the combination of electrostimulation the years of MAPs significantly reduced urinary incontinence in patients undergoing radical prostatectomy.