Is There Any Change in Pelvic Floor Electromyography During the First 6 Months After Radical Retropubic Prostatectomy?

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dc.contributor.author Hacad, Claudia R. [UNIFESP]
dc.contributor.author Glazer, Howard I.
dc.contributor.author Zambon, Joao Paulo C. [UNIFESP]
dc.contributor.author Burti, Juliana S. [UNIFESP]
dc.contributor.author Almeida, Fernando G. [UNIFESP]
dc.date.accessioned 2016-01-24T14:40:09Z
dc.date.available 2016-01-24T14:40:09Z
dc.date.issued 2015-03-01
dc.identifier http://dx.doi.org/10.1007/s10484-015-9271-3
dc.identifier.citation Applied Psychophysiology and Biofeedback. New York: Springer/plenum Publishers, v. 40, n. 1, p. 9-15, 2015.
dc.identifier.issn 1090-0586
dc.identifier.uri http://repositorio.unifesp.br/handle/11600/38814
dc.description.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 +/- A 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 a parts per thousand yen8. 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. en
dc.format.extent 9-15
dc.language.iso eng
dc.publisher Springer
dc.relation.ispartof Applied Psychophysiology and Biofeedback
dc.rights Acesso restrito
dc.subject Radical prostatectomy en
dc.subject Urinary incontinence en
dc.subject Surface electromyography en
dc.subject Pelvic floor muscles en
dc.title Is There Any Change in Pelvic Floor Electromyography During the First 6 Months After Radical Retropubic Prostatectomy? en
dc.type Artigo
dc.rights.license http://www.springer.com/open+access/authors+rights?SGWID=0-176704-12-683201-0
dc.contributor.institution Universidade Federal de São Paulo (UNIFESP)
dc.contributor.institution Cornell Univ
dc.description.affiliation Fed Univ São Paulo UNIFESP, Dept Urol Female Urol & Voiding Dysfunct, São Paulo, Brazil
dc.description.affiliation Cornell Univ, Coll Med, Dept Psychiat, New York, NY 10021 USA
dc.description.affiliationUnifesp Fed Univ São Paulo UNIFESP, Dept Urol Female Urol & Voiding Dysfunct, São Paulo, Brazil
dc.identifier.doi 10.1007/s10484-015-9271-3
dc.description.source Web of Science
dc.identifier.wos WOS:000351744500002



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