Continence Outcome of Preoperative Pelvic Floor Muscle Training after Robotic-Assisted Laparoscopic Radical Prostatectomy: Randomized Controlled Trial
3
Issued Date
2026-04-01
Resource Type
ISSN
01252208
eISSN
24081981
Scopus ID
2-s2.0-105036811905
Journal Title
Journal of the Medical Association of Thailand
Volume
109
Issue
4
Start Page
257
End Page
263
Rights Holder(s)
SCOPUS
Bibliographic Citation
Journal of the Medical Association of Thailand Vol.109 No.4 (2026) , 257-263
Suggested Citation
Thampravit T., Amonvuttikai R., Aysurin T., Ruthiraphong P., Sangkum P., Ketsuwan C., Ratanapornsompong W., Sirisopana K., Kongchareonsombat W. Continence Outcome of Preoperative Pelvic Floor Muscle Training after Robotic-Assisted Laparoscopic Radical Prostatectomy: Randomized Controlled Trial. Journal of the Medical Association of Thailand Vol.109 No.4 (2026) , 257-263. 263. doi:10.35755/jmedassocthai.2026.4.02971 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/116498
Title
Continence Outcome of Preoperative Pelvic Floor Muscle Training after Robotic-Assisted Laparoscopic Radical Prostatectomy: Randomized Controlled Trial
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Abstract
Background: Incontinence is the second most bothersome outcome after robotic-assisted laparoscopic radical prostatectomy (RARP). Most patients will regain continence at one year, but pelvic floor muscle training (PFMT) may represent a valid treatment to improve postoperative urinary continence. Objective: To determine the relationship between preoperative PFMT functional outcomes in patients undergoing RARP. Materials and Methods: The present study was a randomized controlled trial. Sixty patients with clinically localized adenocarcinoma of the prostate between December 2020 and June 2022 were randomized into two groups: Group A included 30 patients in standard RARP and a pre-operative PFMT program, and Group B included 30 patients in which only standard RARP was performed. The primary outcome was continent status at 1, 3, and 6 months after surgery using the score from the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF). The higher score means poorer incontinence status. The secondary outcomes were continence status at 1, 3, and 6 months after surgery, assessed using the pad test score. Results: The continent status at 1, 3, and 6 months postoperatively was evaluated by ICIQ-UI SF. The total mean score in Group A was better than that in Group B, but it was not statistically significant. The divided ICIQ-SF score by severity level showed a significant improvement in post-prostatectomy urinary incontinence at one month (p=0.024). Pad test at one, three, and six months for the PFMT group was better than for the control group, but was not statistically significant. Conclusion: Pre-operative PFMT for men undergoing RARP for prostate cancer may improve postoperative urinary continence.