Effect of Group Preoperative Pelvic Floor Training for HoLEP
The Effect of Group Preoperative Pelvic Floor Training on Transient Urinary Incontinence After Holmium Laser Enucleation of the Prostate: A Prospective Cohort Study
University of California, San Francisco
100 participants
Feb 7, 2024
OBSERVATIONAL
Conditions
Summary
The main goal of this study is to see if group pelvic floor training before surgery can help prevent urinary incontinence after Holmium laser enucleation of the prostate (HoLEP) surgery. The study has the potential to inform preoperative intervention strategies for managing incontinence after HoLEP.
Eligibility
Inclusion Criteria3
- Consecutive patients with a diagnosis of BPH with a plan to undergo HoLEP.
- Between the age of 50-90.
- Ability to understand and provide informed consent.
Exclusion Criteria4
- Patients whom inability to carry out PFT protocol.
- Patients unwilling or unable to complete follow up care.
- Severe urinary incontinence due to a history of neurological diseases such as a cerebrovascular accident or spinal cord injuries.
- Patients whom inability to read and understand the English language.
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Interventions
Patients will receive PFT from a trained physical therapist delivered in a group setting of 8-10 people. The investigators allow patients in the PFT group to attend group classes as many times as they want prior to surgery to see if the frequency of training has an effect on outcomes. The treatment group could be required to go to at least 1 group class 4 weeks prior to their procedure, but they could be welcome to attend more if they want further practice and review of the material. A 45-minute group class with basic PFT guidelines could be presented weekly during the study.
Locations(1)
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NCT05719220