Resumo

SERDA, B.-C.; VESA, J.; VALLE, A. del  e  MONREAL, P.. Urinary incontinence and prostate cancer: A rehabilitation program design. Actas Urol Esp [online]. 2010, vol.34, n.6, pp.522-530. ISSN 0210-4806.

Introduction and objectives: This article presents the design and implementation of a rehabilitation program based on the muscular exercises of pelvic floor, incorporating the strength resistance work. Materials and methods: The design in quasi-experimental. The sample is formed by 33 participants in treatment phase. The variable studied are: anthropometrics variables, variables related to IU evolution (intensity, difficulty, frequency and activities limitation), obesity, fatigue and pain, muscular strength and quality of life. Measures pre (0 week) and post test (24 weeks) are taken with the aim of evaluate intra-subject change. Statistic analysis is made with t Student-fisher test, Wilcoxon or U Man Whitney, and X² test. Analysis was performed with SPSS program version 15. Signification level chosen was 5%. Results: After 24 weeks of program an improvement was identify in: anthropometric variables waist-to- hip ratio (p=,003), waist perimeter (p<,001), body fat percentage (p<,001), IU intensity (p<,0001), frequency and difficulty and they relation with activities limitation (p<,0001), and also the existing relationship between the improvement of IU and the improvement of QoL (p=,039). Conclusions: The article establishes scientifically the efficacy of the progressive strength to diminish IU. The improvement of QoL of men with prostate cancer is mediated by the improvement of the urinary continence.

Palavras-chave : Incontinence; Exercise; Prostate cancer; Quality of life.

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