ABSTRACT
This paper explains the rationale behind the intervention used for a large multi-centred randomised controlled trial for men following transurethral resection of prostate or radical prostatectomy. It shows the content of the protocol used and explains why this particular protocol of pelvic floor muscle exercises and urge suppression techniques was chosen for men in the intervention group. The trial will evaluate whether this intervention will be effective for men with urinary incontinence and sexual dysfunction after prostate surgery. ISRCTN number: ISRCTN87696430.
Subject(s)
Exercise Therapy/methods , Physical Therapy Modalities , Prostatic Diseases/rehabilitation , Prostatic Diseases/surgery , Transurethral Resection of Prostate/rehabilitation , Humans , Male , Pelvic Floor/physiology , Postoperative Complications/prevention & control , Postoperative Complications/rehabilitation , Prostatic Diseases/physiopathology , Urinary Incontinence, Urge/prevention & control , Urinary Incontinence, Urge/rehabilitationABSTRACT
Seventy nine patients with prostatic tuberculosis were examined and treated at the specialized "Glukhovskaya" sanatorium. All the patients were divided into 2 groups: a study group and a control one. In the study group patients, low-intensity laser radiotherapy was additionally performed in combination with etiological and pathogenetical treatments. The performed studies demonstrated that in the patients exposed to low-intensity laser radiation, there was a rapid relief of dysuric symptoms, cessation or diminishment of the signs of copulative dysfunction; positive changes in life quality indices and laboratory parameters were statistically significantly more frequently and more rapidly recorded. Laser therapy simultaneously was found to affect a few links of the pathogenesis of genitourinary tuberculosis, to have limited number of contraindications, to be well tolerated, and to be an effective method of the complex treatment of patients with prostatic tuberculosis during sanatorium rehabilitation.
Subject(s)
Low-Level Light Therapy/methods , Prostatic Diseases/rehabilitation , Prostatic Diseases/radiotherapy , Tuberculosis, Male Genital/rehabilitation , Tuberculosis, Male Genital/radiotherapy , Humans , Male , Treatment OutcomeABSTRACT
We investigated the effect of subjective urinary symptoms on quality of life (QOL) in 536 males who participated in a field survey for prostatic diseases in Hokkaido from 1991 to 1993. To quantitatively estimate the subjective urinary symptoms, we used a questionnaire that included questions about irritative symptoms such as "diurnal frequency", "nocturia", "sensation of residual urine", "urgency" and "frequent urination within 2 hrs.", and obstructive symptoms such as "difficulty to start urination", "intermittency during urination", "strain or pushing", "weak stream" and "stopping or starting urination". The incidences of participants with poor QOL increased as irritative and obstructive symptoms became apparent (p < 0.001). However, some participants, who had only mild urinary symptoms, could not tolerate the situation and felt impairment of QOL. In contrast, others did not feel a decrease of QOL in daily life in spite of severe symptoms. Thus, subjective urinary symptoms did not always correlate with QOL in some individuals. These results indicated that we should keep in mind not only subjective urinary symptoms but their effect on QOL whenever we determine an indication for medical or surgical intervention for patients having urinary symptoms.
