Physiotherapeutic Treatment of Urinary Incontinence after Radical Prostatectomy: Case Study

Abstract

Apply the protocol of perineal exercises in urinary incontinence after radical prostatectomy for prostate cancer. Unique, descriptive and exploratory case study, of a quantitative and qualitative nature. Held in a host institution in the southwest of Bahia on cancer patients. Participant, 63 years old, diagnosed with prostate cancer, undergoing radiation therapy, prostatectomized for 3 years with urinary incontinence. Data analysis was performed using the Statistical Package for Social Sciences - Version 22.0. The research resulted in a decrease in daily urinary frequency (from 14 to 6) and the amount of diapers used weekly (from 14 to 3). In the PERFECT scheme there was an increase in the phases: P = from 3 to 4; E = from 4 to 10; R = from 4 to 10; F = from 3 to 10. In the Stop-Test there was progress in the score of muscular functionality from 3 to 5. In the Pad-Test there was a reduction in the difference in urinary loss from 4 grams to 1 gram. Conclusion: The application of the protocol and the physical therapy follow-up carried out in the present study showed positive results in increasing the strength and resistance of the pelvic floor muscle contraction, consequently, the return of urinary continence, which were confirmed at the end of therapy.