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KMID : 1001020110090010009
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Journal of Urologic Oncology
2011 Volume.9 No. 1 p.9 ~ p.16
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The Effects of 12 Week’s Combined Exercise Intervention on Physical Function and Urinary Incontinence after Prostatectomy; Preliminary Study
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Kim Mi-Sook
Park Sung-Woo
Chung Moon-Kee
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Abstract
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Purpose: The purpose of this study was to determine the effects of pelvic floor exercises on physical function, body sway, and urinary incontinence after radical prostatectomy.
Materials and Methods : All of the subjects were elderly males who were diagnosed with T2 prostate cancer. After laparoscopic radical prostatectomy, subjects were recruited based on the surgeon’s recommendations and finally 9 patients were included. The combined exercise was composed of resistance exercise, pelvic flexibility exercise and Kegel exercise. These exercises were mainly performed by sports experts with the use of a ball and an elastic band. Following a 12-week exercise intervention, the physical functions were assessed based on functional fitness, flexibility and balance function. The body composition was also measured using a body composition analyzer(Inbody 720, Biospace Co. Korea). Urinary incontinence and voiding symptoms were evaluated using a pad test and an ICIQ questionnaire.
Results: After a 12-week exercise intervention, physical fitness showed a significant increase in dominant grip strength, sit-and-reach, chair stand, and sit-ups, except body composition. The body sway test for balance ability showed a significant improvement, as well as urinary incontinence. No adverse events occurred in any patients.
Conclusions : In current preliminary study, the combined exercise intervention after radical prostatectomy, may help improve physical fitness, balance, and hastening the return to continence. The findings support the safety and importance for a clinical trial of exercises after prostate cancer surgery. Further controlled trials are warranted to demonstrate the efficacy of an exercise intervention in elderly patients following radical prostatectomy.
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KEYWORD
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Exercise, Physical activity, Prostate cancer, Prostatectomy
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