The Korean Journal of Urological Oncology 2011;9(1):9-16.
Published online April 30, 2011.
근치적전립선적출술 후 12주간의 복합운동요법이 운동능력 및 요실금 개선에 미치는 영향; 예비연구
김미숙1, 박성우2,3, 정문기2,3
The Effects of 12 Week's Combined Exercise Intervention on Physical Function and Urinary Incontinence after Prostatectomy; Preliminary Study
Mi-Sook Kim 1, Sung-Woo Park 2,3, Moon Kee Chung 2,3
021Division of Sports Science, Department of Urology, Korea
31Division of Sports Science, Medical Research Institute, Pusan National University Yangsan Hospital, Yangsan, Korea
Correspondence:  Moon Kee Chung
Abstract
Purpose: The purpose of this study was to determine the effects of pelvic floor exercises on physical function, body sway, and urinary incontinence after radical prostatectomy.

Materials and Methods: All of the subjects were elderly males who were diagnosed with T2 prostate cancer. After laparoscopic radical prostatectomy, subjects were recruited based on the surgeon's recommendations and finally 9 patients were included. The combined exercise was composed of resistance exercise, pelvic flexibility exercise and Kegel exercise. These exercises were mainly performed by sports experts with the use of a ball and an elastic band. Following a 12-week exercise intervention, the physical functions were assessed based on functional fitness, flexibility and balance function. The body composition was also measured using a body composition analyzer(Inbody 720, Biospace Co. Korea). Urinary incontinence and voiding symptoms were evaluated using a pad test and an ICIQ questionnaire.

Results: After a 12-week exercise intervention, physical fitness showed a significant increase in dominant grip strength, sit-and-reach, chair stand, and sit-ups, except body composition. The body sway test for balance ability showed a significant improvement, as well as urinary incontinence. No adverse events occurred in any patients.

Conclusions: In current preliminary study, the combined exercise intervention after radical prostatectomy, may help improve physical fitness, balance, and hastening the return to continence. The findings support the safety and importance for a clinical trial of exercises after prostate cancer surgery. Further controlled trials are warranted to demonstrate the efficacy of an exercise intervention in elderly patients following radical prostatectomy. (Korean J Urol Oncol 2011;9:9-16)

Key Words: Exercise, Physical activity, Prostate cancer, Prostatectomy


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