Is There Any Change in Pelvic Floor Electromyography During the First 6 Months After Radical Retropubic Prostatectomy?
The aim of this study is to determine electromyographic pelvic floor muscles activity during the first 6 months post RRP and its relationship to urinary continence. Thirty-eight men (mean age of 63.1 ± 5.7 year) with prostate cancer scheduled for open radical retropubic prostatectomy were evaluated....
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| Veröffentlicht in: | Applied psychophysiology and biofeedback 2015-03, Vol.40 (1), p.9-15 |
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| creator | Hacad, Claudia R. Glazer, Howard I. Zambon, João Paulo C. Burti, Juliana S. Almeida, Fernando G. |
| description | The aim of this study is to determine electromyographic pelvic floor muscles activity during the first 6 months post RRP and its relationship to urinary continence. Thirty-eight men (mean age of 63.1 ± 5.7 year) with prostate cancer scheduled for open radical retropubic prostatectomy were evaluated. Exclusion criteria: pelvic radiotherapy, systemic or neurologic diseases, pre-operative International Prostate Symptoms Score (IPSS) >7 and OABq ≥8. Surface electromyography (sEMG) evaluation, IPSS, Urinary Distress Inventory, Incontinence Impact Questionnaire, and Overactive Bladder Questionnaire—short form were applied before and at 1, 3, and 6 months after RRP. Six months after surgery, 18 men (47.4 %) presented urinary leakage. The sEMG evaluations within the first 6 months presented changes in fast contraction amplitude (
p
= 0.006), rest amplitude after fast contraction (
p
= 0.04), 10 s sustained contraction mean amplitude (
p
= 0.024) and final rest amplitude (
p
= 0.011). We observed that continent and incontinent patients as a group presented electromyographic changes during the first 6 months after radical prostatectomy that could be justified by the denervation/reinnervation of the external urethral sphincter. This finding is consistent with the adaptation of the pelvic floor musculature to the new urethral sphincter condition following surgery. |
| doi_str_mv | 10.1007/s10484-015-9271-3 |
| format | Article |
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p
= 0.006), rest amplitude after fast contraction (
p
= 0.04), 10 s sustained contraction mean amplitude (
p
= 0.024) and final rest amplitude (
p
= 0.011). We observed that continent and incontinent patients as a group presented electromyographic changes during the first 6 months after radical prostatectomy that could be justified by the denervation/reinnervation of the external urethral sphincter. This finding is consistent with the adaptation of the pelvic floor musculature to the new urethral sphincter condition following surgery.</description><identifier>ISSN: 1090-0586</identifier><identifier>EISSN: 1573-3270</identifier><identifier>DOI: 10.1007/s10484-015-9271-3</identifier><identifier>PMID: 25735504</identifier><language>eng</language><publisher>Boston: Springer US</publisher><subject>Aged ; Behavioral Science and Psychology ; Biofeedback ; Bladder ; Electromyography ; Follow-Up Studies ; Health Psychology ; Humans ; Male ; Middle Aged ; Nervous system diseases ; Pelvic Floor - physiopathology ; Pelvis ; Postoperative Complications - physiopathology ; Prostate cancer ; Prostatectomy - adverse effects ; Prostatic Neoplasms - surgery ; Psychology ; Psychotherapy and Counseling ; Public Health ; Quality of life ; Questionnaires ; Radiation therapy ; Surgery ; Time Factors ; Urethra - injuries ; Urethra - innervation ; Urinary incontinence ; Urinary Incontinence - etiology ; Urology</subject><ispartof>Applied psychophysiology and biofeedback, 2015-03, Vol.40 (1), p.9-15</ispartof><rights>Springer Science+Business Media New York 2015</rights><rights>COPYRIGHT 2015 Springer</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c472t-3af4ee3c737a5f592d95e76e3b3abc75f8222a0dfd19775d2b3928849ea2f353</citedby><cites>FETCH-LOGICAL-c472t-3af4ee3c737a5f592d95e76e3b3abc75f8222a0dfd19775d2b3928849ea2f353</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10484-015-9271-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10484-015-9271-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51298</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25735504$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hacad, Claudia R.</creatorcontrib><creatorcontrib>Glazer, Howard I.</creatorcontrib><creatorcontrib>Zambon, João Paulo C.</creatorcontrib><creatorcontrib>Burti, Juliana S.</creatorcontrib><creatorcontrib>Almeida, Fernando G.</creatorcontrib><title>Is There Any Change in Pelvic Floor Electromyography During the First 6 Months After Radical Retropubic Prostatectomy?</title><title>Applied psychophysiology and biofeedback</title><addtitle>Appl Psychophysiol Biofeedback</addtitle><addtitle>Appl Psychophysiol Biofeedback</addtitle><description>The aim of this study is to determine electromyographic pelvic floor muscles activity during the first 6 months post RRP and its relationship to urinary continence. Thirty-eight men (mean age of 63.1 ± 5.7 year) with prostate cancer scheduled for open radical retropubic prostatectomy were evaluated. Exclusion criteria: pelvic radiotherapy, systemic or neurologic diseases, pre-operative International Prostate Symptoms Score (IPSS) >7 and OABq ≥8. Surface electromyography (sEMG) evaluation, IPSS, Urinary Distress Inventory, Incontinence Impact Questionnaire, and Overactive Bladder Questionnaire—short form were applied before and at 1, 3, and 6 months after RRP. Six months after surgery, 18 men (47.4 %) presented urinary leakage. The sEMG evaluations within the first 6 months presented changes in fast contraction amplitude (
p
= 0.006), rest amplitude after fast contraction (
p
= 0.04), 10 s sustained contraction mean amplitude (
p
= 0.024) and final rest amplitude (
p
= 0.011). We observed that continent and incontinent patients as a group presented electromyographic changes during the first 6 months after radical prostatectomy that could be justified by the denervation/reinnervation of the external urethral sphincter. This finding is consistent with the adaptation of the pelvic floor musculature to the new urethral sphincter condition following surgery.</description><subject>Aged</subject><subject>Behavioral Science and Psychology</subject><subject>Biofeedback</subject><subject>Bladder</subject><subject>Electromyography</subject><subject>Follow-Up Studies</subject><subject>Health Psychology</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Nervous system diseases</subject><subject>Pelvic Floor - physiopathology</subject><subject>Pelvis</subject><subject>Postoperative Complications - physiopathology</subject><subject>Prostate cancer</subject><subject>Prostatectomy - adverse effects</subject><subject>Prostatic Neoplasms - surgery</subject><subject>Psychology</subject><subject>Psychotherapy and Counseling</subject><subject>Public Health</subject><subject>Quality of life</subject><subject>Questionnaires</subject><subject>Radiation therapy</subject><subject>Surgery</subject><subject>Time Factors</subject><subject>Urethra - injuries</subject><subject>Urethra - innervation</subject><subject>Urinary incontinence</subject><subject>Urinary Incontinence - etiology</subject><subject>Urology</subject><issn>1090-0586</issn><issn>1573-3270</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqNkk9r3DAQxU1padK0H6CXIuilF6f6Y1nWqSybbBNIaQh7F7I8Wit4LVeSA_vtK7NpSEsLRQeJ4fceM6NXFO8JPicYi8-R4KqpSkx4KakgJXtRnBIuWMmowC_zG0tcYt7UJ8WbGO8xxrKW5HVxQjPEOa5Oi4friLY9BECr8YDWvR53gNyIbmF4cAZtBu8DuhzApOD3B78LeuoP6GIObtyh1APauBATqtE3P6Y-opVNENCd7pzRA7qDLJvmNjvdBh-TTtko-3x5W7yyeojw7vE-K7aby-36qrz5_vV6vbopTSVoKpm2FQAzggnNLZe0kxxEDaxlujWC24ZSqnFnOyKF4B1tmaRNU0nQ1DLOzopPR9sp-B8zxKT2LhoYBj2Cn6MitahZ1QiM_wOt887yqquMfvwDvfdzGPMcC9UQUlfkGbXTAyg3Wp-CNoupWglCKZYCN5k6_wuVTwd7Z_wI1uX6bwJyFJi80BjAqim4vQ4HRbBaUqGOqVC5VbWkQrGs-fDY8NzuoXtS_IpBBugRiNPysRCeTfRP158zQb9x</recordid><startdate>20150301</startdate><enddate>20150301</enddate><creator>Hacad, Claudia R.</creator><creator>Glazer, Howard I.</creator><creator>Zambon, João Paulo C.</creator><creator>Burti, Juliana S.</creator><creator>Almeida, Fernando G.</creator><general>Springer US</general><general>Springer</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M7P</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20150301</creationdate><title>Is There Any Change in Pelvic Floor Electromyography During the First 6 Months After Radical Retropubic Prostatectomy?</title><author>Hacad, Claudia R. ; Glazer, Howard I. ; Zambon, João Paulo C. ; Burti, Juliana S. ; Almeida, Fernando G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c472t-3af4ee3c737a5f592d95e76e3b3abc75f8222a0dfd19775d2b3928849ea2f353</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Aged</topic><topic>Behavioral Science and Psychology</topic><topic>Biofeedback</topic><topic>Bladder</topic><topic>Electromyography</topic><topic>Follow-Up Studies</topic><topic>Health Psychology</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Nervous system diseases</topic><topic>Pelvic Floor - physiopathology</topic><topic>Pelvis</topic><topic>Postoperative Complications - physiopathology</topic><topic>Prostate cancer</topic><topic>Prostatectomy - adverse effects</topic><topic>Prostatic Neoplasms - surgery</topic><topic>Psychology</topic><topic>Psychotherapy and Counseling</topic><topic>Public Health</topic><topic>Quality of life</topic><topic>Questionnaires</topic><topic>Radiation therapy</topic><topic>Surgery</topic><topic>Time Factors</topic><topic>Urethra - injuries</topic><topic>Urethra - innervation</topic><topic>Urinary incontinence</topic><topic>Urinary Incontinence - etiology</topic><topic>Urology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hacad, Claudia R.</creatorcontrib><creatorcontrib>Glazer, Howard I.</creatorcontrib><creatorcontrib>Zambon, João Paulo C.</creatorcontrib><creatorcontrib>Burti, Juliana S.</creatorcontrib><creatorcontrib>Almeida, Fernando G.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Research Library</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Applied psychophysiology and biofeedback</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hacad, Claudia R.</au><au>Glazer, Howard I.</au><au>Zambon, João Paulo C.</au><au>Burti, Juliana S.</au><au>Almeida, Fernando G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Is There Any Change in Pelvic Floor Electromyography During the First 6 Months After Radical Retropubic Prostatectomy?</atitle><jtitle>Applied psychophysiology and biofeedback</jtitle><stitle>Appl Psychophysiol Biofeedback</stitle><addtitle>Appl Psychophysiol Biofeedback</addtitle><date>2015-03-01</date><risdate>2015</risdate><volume>40</volume><issue>1</issue><spage>9</spage><epage>15</epage><pages>9-15</pages><issn>1090-0586</issn><eissn>1573-3270</eissn><abstract>The aim of this study is to determine electromyographic pelvic floor muscles activity during the first 6 months post RRP and its relationship to urinary continence. Thirty-eight men (mean age of 63.1 ± 5.7 year) with prostate cancer scheduled for open radical retropubic prostatectomy were evaluated. Exclusion criteria: pelvic radiotherapy, systemic or neurologic diseases, pre-operative International Prostate Symptoms Score (IPSS) >7 and OABq ≥8. Surface electromyography (sEMG) evaluation, IPSS, Urinary Distress Inventory, Incontinence Impact Questionnaire, and Overactive Bladder Questionnaire—short form were applied before and at 1, 3, and 6 months after RRP. Six months after surgery, 18 men (47.4 %) presented urinary leakage. The sEMG evaluations within the first 6 months presented changes in fast contraction amplitude (
p
= 0.006), rest amplitude after fast contraction (
p
= 0.04), 10 s sustained contraction mean amplitude (
p
= 0.024) and final rest amplitude (
p
= 0.011). We observed that continent and incontinent patients as a group presented electromyographic changes during the first 6 months after radical prostatectomy that could be justified by the denervation/reinnervation of the external urethral sphincter. This finding is consistent with the adaptation of the pelvic floor musculature to the new urethral sphincter condition following surgery.</abstract><cop>Boston</cop><pub>Springer US</pub><pmid>25735504</pmid><doi>10.1007/s10484-015-9271-3</doi><tpages>7</tpages></addata></record> |
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| ispartof | Applied psychophysiology and biofeedback, 2015-03, Vol.40 (1), p.9-15 |
| issn | 1090-0586 1573-3270 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1676348700 |
| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Aged Behavioral Science and Psychology Biofeedback Bladder Electromyography Follow-Up Studies Health Psychology Humans Male Middle Aged Nervous system diseases Pelvic Floor - physiopathology Pelvis Postoperative Complications - physiopathology Prostate cancer Prostatectomy - adverse effects Prostatic Neoplasms - surgery Psychology Psychotherapy and Counseling Public Health Quality of life Questionnaires Radiation therapy Surgery Time Factors Urethra - injuries Urethra - innervation Urinary incontinence Urinary Incontinence - etiology Urology |
| title | Is There Any Change in Pelvic Floor Electromyography During the First 6 Months After Radical Retropubic Prostatectomy? |
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