Men with urinary leaks from surgery or radiation therapy for prostate cancer can benefit from Kegel exercises known for treating incontinence in women after giving birth, according to a randomized, controlled clinical trial.
About 30% of prostate cancer patients nationally are affected by incontinence a year after surgery, and another 14% still feel the effects after five years, according to Amy Y. Zhang, PhD, associate professor at the Frances Payne Bolton School of Nursing at Case Western Reserve University in Cleveland.
The researchers from the nursing school, with University Hospitals Case Medical Center, Cleveland Clinic, MetroHealth Medical Center and the Louis Stokes Cleveland VA Medical Center, conducted the study to find out whether exercises could help men who experience urinary incontinence after prostate cancer treatment.
“Urinary incontinence has been shown to cause significant distress in men following prostate cancer treatments,” Zhang said in a news release. “They’re afraid to travel or attend other social gatherings because there may not be a restroom nearby.”
The findings, published July 28 on the website of the Journal of Urology, detailed results from 244 men randomly assigned to one of three approaches to reduce leakage and manage symptoms.
The first two approaches offered the men one session of biofeedback-assisted pelvic exercises and six biweekly sessions — either in a peer support group or by phone — to learn how to self-manage their symptoms.
In the third approach, men received information and a doctor’s directions for care or sought information on their own.
Researchers tracked leakage and symptom distress at the beginning of the study and followed up at three and six months.
By the third month, the first two methods — biofeedback plus support group or telephone contact — showed better results. The number of leakage episodes decreased, the results showed. At the last assessment at six months, the men receiving biofeedback and support recorded the greatest reduction in leakage amount.
While more study is needed, Zhang believes the improvements were most influenced by the peer group support.
“This study helps fill a gap in our knowledge about how we can treat these patients,” she said in the release.
The National Institutes of Health/National Cancer Institute supported the study. Cleveland Clinic, University Hospitals Case Medical Center, Louis Stokes Cleveland Veterans Affairs Medical Center and the MetroHealth System provided patient access.
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