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Relationships between perioperative physical activity and urinary incontinence after radical prostatectomy: an observational study.

Mungovan SF, Huijbers BP, Hirschhorn AD, Patel MI - BMC Urol (2013)

Bottom Line: At 6 weeks postoperatively, physical activity levels did not differ significantly from baseline (p = 0.181), but remained significantly lower than the week before surgery (p = 0.002).There was no significant interaction effect between preoperative physical activity category and time on the 24-hour pad test (p = 0.726) or ICIQ (p = 0.608).Nor were there any significant correlations between physical activity levels and the 24-hour pad test and ICIQ at 3 or 6 weeks postoperatively.

View Article: PubMed Central - HTML - PubMed

Affiliation: The Clinical Research Institute, Westmead Private Physiotherapy Services, Sydney, Australia. andrew.hirschhorn@crinstitute.com.au.

ABSTRACT

Background: Higher physical activity levels are continence-protective in non-prostate cancer populations. Primary aims of this study were to investigate changes in physical activity levels over the perioperative period in patients having radical prostatectomy, and relationships between perioperative physical activity levels and post-prostatectomy urinary incontinence.

Methods: A prospective analysis of patients having radical prostatectomy and receiving perioperative physiotherapy including pelvic floor muscle training and physical activity prescription (n = 33). Physical activity levels were measured using the International Physical Activity Questionnaire and/or the SenseWear Pro3 Armband at four timepoints: before preoperative physiotherapy, the week before surgery, and 3 and 6 weeks postoperatively. Urinary incontinence was measured at 3 and 6 weeks postoperatively using a 24-hour pad test and the International Consultation on Incontinence Questionnaire - Urinary Incontinence Short Form (ICIQ).

Results: Physical activity levels changed significantly over the perioperative period (p < 0.001). At 6 weeks postoperatively, physical activity levels did not differ significantly from baseline (p = 0.181), but remained significantly lower than the week before surgery (p = 0.002). There was no significant interaction effect between preoperative physical activity category and time on the 24-hour pad test (p = 0.726) or ICIQ (p = 0.608). Nor were there any significant correlations between physical activity levels and the 24-hour pad test and ICIQ at 3 or 6 weeks postoperatively.

Conclusions: This study provides novel data on perioperative physical activity levels for patients having radical prostatectomy. There was no relationship between perioperative physical activity levels and post-prostatectomy urinary incontinence, although participants had high overall preoperative physical activity levels and low overall urinary incontinence.

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Related in: MedlinePlus

Flowchart of patients through the study period.IPAQ, International Physical Activity Questionnaire; ICIQ, International Consultation on Incontinence Questionnaire – Urinary Incontinence Short Form; 24HPT, 24-hour pad test.
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Figure 2: Flowchart of patients through the study period.IPAQ, International Physical Activity Questionnaire; ICIQ, International Consultation on Incontinence Questionnaire – Urinary Incontinence Short Form; 24HPT, 24-hour pad test.

Mentions: Figure 2 is a flowchart of patients presenting for radical prostatectomy over the study period. Thirty-four patients meeting inclusion criteria consented to participate in the study, one of whom withdrew postoperatively following rehospitalization. His data have been excluded from analysis. Armband data was incomplete for five participants (total six data points) for the following reasons: Armband failure (n = 3); insufficient duration of wear (n = 2); unplanned change in date of surgery (n = 1). One participant did not complete the IPAQ at 3 weeks postoperatively. 24HPT data at 3 weeks postoperatively for one participant was excluded from analysis, as a severe urinary tract infection had resulted in complete loss of urinary control. Participants presented for the first preoperative physiotherapy appointment 39 (11) days preoperatively (range 20–68 days), and attended 5 (1) preoperative physiotherapy appointments (range 3–8). Anthropometric and perioperative data are presented in Table 1.


Relationships between perioperative physical activity and urinary incontinence after radical prostatectomy: an observational study.

Mungovan SF, Huijbers BP, Hirschhorn AD, Patel MI - BMC Urol (2013)

Flowchart of patients through the study period.IPAQ, International Physical Activity Questionnaire; ICIQ, International Consultation on Incontinence Questionnaire – Urinary Incontinence Short Form; 24HPT, 24-hour pad test.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4219599&req=5

Figure 2: Flowchart of patients through the study period.IPAQ, International Physical Activity Questionnaire; ICIQ, International Consultation on Incontinence Questionnaire – Urinary Incontinence Short Form; 24HPT, 24-hour pad test.
Mentions: Figure 2 is a flowchart of patients presenting for radical prostatectomy over the study period. Thirty-four patients meeting inclusion criteria consented to participate in the study, one of whom withdrew postoperatively following rehospitalization. His data have been excluded from analysis. Armband data was incomplete for five participants (total six data points) for the following reasons: Armband failure (n = 3); insufficient duration of wear (n = 2); unplanned change in date of surgery (n = 1). One participant did not complete the IPAQ at 3 weeks postoperatively. 24HPT data at 3 weeks postoperatively for one participant was excluded from analysis, as a severe urinary tract infection had resulted in complete loss of urinary control. Participants presented for the first preoperative physiotherapy appointment 39 (11) days preoperatively (range 20–68 days), and attended 5 (1) preoperative physiotherapy appointments (range 3–8). Anthropometric and perioperative data are presented in Table 1.

Bottom Line: At 6 weeks postoperatively, physical activity levels did not differ significantly from baseline (p = 0.181), but remained significantly lower than the week before surgery (p = 0.002).There was no significant interaction effect between preoperative physical activity category and time on the 24-hour pad test (p = 0.726) or ICIQ (p = 0.608).Nor were there any significant correlations between physical activity levels and the 24-hour pad test and ICIQ at 3 or 6 weeks postoperatively.

View Article: PubMed Central - HTML - PubMed

Affiliation: The Clinical Research Institute, Westmead Private Physiotherapy Services, Sydney, Australia. andrew.hirschhorn@crinstitute.com.au.

ABSTRACT

Background: Higher physical activity levels are continence-protective in non-prostate cancer populations. Primary aims of this study were to investigate changes in physical activity levels over the perioperative period in patients having radical prostatectomy, and relationships between perioperative physical activity levels and post-prostatectomy urinary incontinence.

Methods: A prospective analysis of patients having radical prostatectomy and receiving perioperative physiotherapy including pelvic floor muscle training and physical activity prescription (n = 33). Physical activity levels were measured using the International Physical Activity Questionnaire and/or the SenseWear Pro3 Armband at four timepoints: before preoperative physiotherapy, the week before surgery, and 3 and 6 weeks postoperatively. Urinary incontinence was measured at 3 and 6 weeks postoperatively using a 24-hour pad test and the International Consultation on Incontinence Questionnaire - Urinary Incontinence Short Form (ICIQ).

Results: Physical activity levels changed significantly over the perioperative period (p < 0.001). At 6 weeks postoperatively, physical activity levels did not differ significantly from baseline (p = 0.181), but remained significantly lower than the week before surgery (p = 0.002). There was no significant interaction effect between preoperative physical activity category and time on the 24-hour pad test (p = 0.726) or ICIQ (p = 0.608). Nor were there any significant correlations between physical activity levels and the 24-hour pad test and ICIQ at 3 or 6 weeks postoperatively.

Conclusions: This study provides novel data on perioperative physical activity levels for patients having radical prostatectomy. There was no relationship between perioperative physical activity levels and post-prostatectomy urinary incontinence, although participants had high overall preoperative physical activity levels and low overall urinary incontinence.

Show MeSH
Related in: MedlinePlus