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Study aim
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To determine whether biofeedback-based PFMT prior or after radical prostatectomy could result in early achievement of continence.
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Design
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In this single- blinded randomized control trial with control group, 58 subjects enrolled in the study. patients randomized in to three groups. In the two case groups, biofeedback will perform before or after surgery.
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Settings and conduct
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All patients with the definitive diagnosis of prostate cancer who are referred to Shohada-e-Tajrish Hospital will enroll in the study.
In this single blinded study, patients will be blinded by using functional biofeedback probe in the case groups whereas the control group receives nonfunctional probes.
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Participants/Inclusion and exclusion criteria
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Inclusion criteria: Patients with prostate cancer confirmed by TRUSBx who are eligible for radical prostatectomy
Exclusion criteria: patients who were diagnosed with prostate cancer following Transurethral Resection of Prostate, patients who received pelvic radiotherapy regardless of their primary malignancy, spinal cord injury, comorbidities that can affect urinary continence , history of pelvic or retroperitoneal surgery, neurologic disorders.
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Intervention groups
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In the first group, biofeedback was performed for pelvic floor muscles by a physiatrist for the duration of 30 minutes, 2 times a week for a duration of 2 weeks prior to surgery. In the second group no intervention carried out before surgery, but after removing Foley catheter, patients underwent pelvic muscle biofeedback by a physiatrist for a duration of 30 minutes, 2 times a week for 2 weeks. And finally in the third group, probe without any function will plaaaced on patients' perineum.
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Main outcome variables
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biofeedback before radical prostatectomy on urinary incontinence after surgery according to King's Health Questionnaire before surgery and in 1,3 and 6 months after surgery.