ABSTRACT
ABSTRACT Aims: Radical prostatectomy (RP) can result in urinary incontinence (UI) and erectile dysfunction (ED), which negatively impact quality of life (QoL). This study aimed to evaluate the effects of a perioperative pelvic floor muscle training (PFMT) program versus usual care on early recovery of urinary continence and erectile function after RP. Materials and Methods: Of 59 eligible men, 31 were randomly allocated into 2 groups: Group 1 (Control, N=15) received usual post-RP care; and Group 2 (Physical therapy, N=16) received two pre-RP physical therapist-guided PFMT sessions, including exercises and electromyographic biofeedback, and verbal and written instructions to continue PFMT until RP, which was then resumed after urethral catheter removal. The International Consultation on Incontinence Questionnaire - Short Form (ICIQ-SF) and the 5-item version of the International Index of Erectile Function (IIEF-5) questionnaire were used to evaluate UI and ED, respectively. Results: Demographic characteristics were similar in both groups. Three months after RP, the UI rate was 72.7% and 70.0% in Groups 1 and 2, respectively (P >0.05). The severity and frequency of UI and its impact on QoL were evaluated by the ICIQ-Short Form, with scores of 6.9±6.26 in Group 1 and 7.0±5.12 in Group 2 (P >0.05). The IIEF-5 scores were similar in Groups 1 and 2 (5.73±7.43 vs. 6.70±6.68, respectively) (P >0.05). Conclusion: Our pre-RP protocol of two physical therapist-assisted sessions of PFMT plus instructions did not significantly improve urinary continence or erectile function at 3 months after RP.
Subject(s)
Humans , Male , Aged , Prostatectomy/rehabilitation , Urinary Incontinence/rehabilitation , Pelvic Floor/physiopathology , Perioperative Care/methods , Muscle Stretching Exercises/methods , Erectile Dysfunction/rehabilitation , Prostatectomy/adverse effects , Prostatectomy/methods , Prostatic Neoplasms/surgery , Prostatic Neoplasms/pathology , Quality of Life , Urinary Incontinence/etiology , Urinary Incontinence/physiopathology , Adenocarcinoma/surgery , Adenocarcinoma/pathology , Prospective Studies , Surveys and Questionnaires , Treatment Outcome , Neurofeedback , Neoplasm Grading , Erectile Dysfunction/etiology , Erectile Dysfunction/physiopathology , Middle Aged , Muscle Contraction/physiology , Neoplasm StagingABSTRACT
Este artigo apresenta um estudo sobre o uso do Sociodrama como metodologia de intervenção com condenados que cumprem pena no Método de Execução Penal APAC. Busca-se compreender como essa metodologia pode servir para auxiliar no desenvolvimento de novos papéis e na (re) construção do projeto de vida dos condenados, à luz da socionomia de Jacob Levy Moreno. Trata-se de uma pesquisa qualitativa, realizada com reclusos de uma Associação de Proteção e Assistência aos Condenados (APAC) de Minas Gerais, que visa refletir sobre o sentido do encarceramento e a produção de novos projetos de vida para esses indivíduos. Foi possível estabelecer correspondência entre os resultados alcançados e a teoria sociodramática, uma vez que esta pode se constituir como uma intervenção psicológica no contexto prisional.
This article presents a study about the use of sociodrama as an intervention methodology for convicts who serves a sentence in the Criminal Execution Method APAC. The objective is to understand how this methodology can be used to assist in the development of new roles and in the (re) construction of the convicts' life project, in the light of Jacob Levy Moreno's socionomy. It is a qualitative research developed with inmates of Association of Protection and Assistance to the Convicts (APAC) in Minas Gerais, aiming at reflecting on the meaning of incarceration and the production of new life projects for these individuals. It was possible to establish a connection between the results achieved and the sociodramatic theory, as sociodrama can be constituted as a psychological intervention in the prison context.
En este artículo se presenta un ensayo sobre el uso del Sociodrama como metodología de intervención con los presos que cumplen penas en el Método de Ejecución Penal APAC.Se trata de comprender cómo esa metodología se puede ser utilizada para ayudar en el desarrollo de nuevos roles sociales y en la (re) construcción del proyecto de vida de los condenados a la luz de la Socionomía de Jacob Levy Moreno. Se trata de un ensayo con el diseño cualitativo llevada con los internos de la Asociación de Protección y Asistencia a los Convictos (APAC) de Minas Gerais, que tiene como el objetivo reflexionar sobre el sentido de encarcelamiento y la producción de nuevos proyectos de vida de estas personas. Fue posible establecer correspondencia entre los resultados obtenidos y la teoría del sociodrama, ya que esto puede ser como una intervención psicológica en el contexto penitenciario.