REVIEW PAPER
Physiotherapeutic treatment for urinary incontinence in men after radical prostatectomy
 
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1
Studenckie Koło Naukowe przy Katedrze i Klinice Rehabilitacji Śląskiego Uniwersytetu Medycznego w Katowicach
2
Katedra Elektrokardiologii, Klinika Elektrokardiologii i Niewydolności Serca Śląskiego Uniwersytetu Medycznego w Katowicach
3
Katedra i Klinika Rehabilitacji Śląskiego Uniwersytetu Medycznego w Katowicach
CORRESPONDING AUTHOR
Tomasz Jurys   

Studenckie Koło Naukowe przy Katedrze i Klinice Rehabilitacji Śląskiego Uniwersytetu Medycznego w Katowicach
 
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ABSTRACT
Introduction and objective:
Despite well-developed surgical techniques and low mortality as the result of radical prostatectomy, there still occur serious post-operative complications, such as urinary incontinence and erectile dysfunction. It is very important to introduce appropriate physiotherapeutic management in the treatment of these complications. The aim of the study is to present physiotherapeutic management of urinary incontinence after the procedure of radical prostatectomy, based on the available literature, and bring closer an understanding of the problem of prostate cancer, its diagnostics and treatment.

Brief description of the state of knowledge.:
Prostate cancer is the second most common malignant cancer in Polish males. Over the last three decades, its detectability has increased nearly five times. The prognoses demonstrate that during the nearest 15 years, prostate cancer will become the most frequent malignant cancer among males in Poland. The diagnosis includes the measurement of the serum PSA level, palpation per rectum, ultrasonographic examination and prostate biopsy. The main treatments for prostate cancer are conservative treatment, surgical treatment, hormonal treatment and radiotherapy. Radical prostatectomy is considered the most effective method of treatment for cancer limited to the prostate. Nevertheless, it leads to two serious complications, such as urinary incontinence and impotence. An early introduction of a proper physiotherapeutic process allows an improvement in the quality of life of patients with urinary incontinence and erectile dysfunction.

Conclusion:
Despite constant improvement in the techniques of radical prostatectomy, the risk of complications, such as urinary incontinence or erectile dysfunction still remain high. Therefore, the process of physiotherapy should be an integral element of the complex treatment of patients suffering from prostate cancer.

 
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