Is There Any Change in Pelvic Floor Electromyography During the First 6 Months After Radical Retropubic Prostatectomy?

Is There Any Change in Pelvic Floor Electromyography During the First 6 Months After Radical Retropubic Prostatectomy?

Author Hacad, Claudia R. Autor UNIFESP Google Scholar
Glazer, Howard I. Google Scholar
Zambon, Joao Paulo C. Autor UNIFESP Google Scholar
Burti, Juliana S. Autor UNIFESP Google Scholar
Almeida, Fernando G. Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Cornell Univ
Abstract The aim of this study is to determine electromyographic pelvic floor muscles activity during the first 6 months post RRP and its relationship to urinary continence. Thirty-eight men (mean age of 63.1 +/- A 5.7 year) with prostate cancer scheduled for open radical retropubic prostatectomy were evaluated. Exclusion criteria: pelvic radiotherapy, systemic or neurologic diseases, pre-operative International Prostate Symptoms Score (IPSS) > 7 and OABq a parts per thousand yen8. Surface electromyography (sEMG) evaluation, IPSS, Urinary Distress Inventory, Incontinence Impact Questionnaire, and Overactive Bladder Questionnaire-short form were applied before and at 1, 3, and 6 months after RRP. Six months after surgery, 18 men (47.4 %) presented urinary leakage. the sEMG evaluations within the first 6 months presented changes in fast contraction amplitude (p = 0.006), rest amplitude after fast contraction (p = 0.04), 10 s sustained contraction mean amplitude (p = 0.024) and final rest amplitude (p = 0.011). We observed that continent and incontinent patients as a group presented electromyographic changes during the first 6 months after radical prostatectomy that could be justified by the denervation/reinnervation of the external urethral sphincter. This finding is consistent with the adaptation of the pelvic floor musculature to the new urethral sphincter condition following surgery.
Keywords Radical prostatectomy
Urinary incontinence
Surface electromyography
Pelvic floor muscles
Language English
Date 2015-03-01
Published in Applied Psychophysiology and Biofeedback. New York: Springer/plenum Publishers, v. 40, n. 1, p. 9-15, 2015.
ISSN 1090-0586 (Sherpa/Romeo, impact factor)
Publisher Springer
Extent 9-15
Origin http://dx.doi.org/10.1007/s10484-015-9271-3
Access rights Closed access
Type Article
Web of Science ID WOS:000351744500002
URI http://repositorio.unifesp.br/handle/11600/38814

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