The assessment and management of urinary incontinence in patients with prostate cancer

2005 ◽  
pp. 933-944
Keyword(s):  
Prostate Cancer ◽  
Urinary Incontinence

scholarly journals Application of comprehensive rehabilitation programs after radical treatment of prostate cancer

2020 ◽  
Vol 19 (4) ◽  
pp. 234-238
Author(s):  
Alexander V. Yashkov ◽  
Tatyana A. Sivokhina ◽  
Svetlana A. Burmistrova ◽  
Natalia G. Rybakova
Keyword(s):  
Quality Of Life ◽  
Prostate Cancer ◽  
Urinary Incontinence ◽  
Neuromuscular Stimulation ◽  
Radical Treatment ◽  
Rehabilitation Programs ◽  
Negative Effect ◽  
Degrees Of Severity ◽  
Combined Technique

Background. The main side effect of most of the methods of treating prostate cancer is incontinence of urine in varying degrees of severity. Although in most cases incontinence is a temporary phenomenon, this problem occurs in 3963% of patients during the first two years after treatment, and about 2456% of patients have to use urological pads or condoms. Incontinence of urine is also a serious psychological traumatic factor, which has аn extremely negative effect on patients quality of life. Aim: to substantiate the effectiveness of the use of complex rehabilitation programs in the correction of urinary incontinence in men who have undergone radical treatment for prostate cancer. Materials and methods. The study included patients with stage IIII prostate cancer, mean age 55 6 years, with complications after radical prostatectomy for at least 2 months without a tendency to improve in the form of moderate and severe urinary incontinence. Results. The combined technique of correction of urinary incontinence, modified by us, using neuromuscular stimulation, physiotherapy exercises and psychocorrectional exercises, has demonstrated its effectiveness in improving the quality of life in this group of patients. Conclusions. The combined technique of correction of an incontience of urine with use of neuromuscular stimulation, physiotherapy exercises and the psychocorrection of occupations is presented in this article, the assessment of efficiency of this comprehensive program of rehabilitation, and also improvement of quality of life of patients is carried out.

Implementation of Fuzzy Technology in Complicated Medical Diagnostics and Further Decision

Fuzzy Systems ◽  
2017 ◽  
pp. 935-968
Author(s):  
A. B. Bhattacharya ◽  
Arkajit Bhattacharya
Keyword(s):  
Prostate Cancer ◽  
Fuzzy Logic ◽  
Urinary Incontinence ◽  
Expert Systems ◽  
Domestic Animals ◽  
Medical Diagnostics ◽  
Classical Approach ◽  
Medical Work ◽  
Neurological Signs ◽  
Fuzzy Expert Systems

This chapter presents the importance of fuzzy expert systems in the medical field. Efficient and suitable medical work becomes difficult many times without the knowledge of the rules of logic. The chapter highlights the ways of implementing both classical logic and non-classical approach (e.g. temporal and fuzzy logic) in some adverse areas of medical diagnostics. The implementation of fuzzy expert systems is supported by some examples illustrating how indispensable the cognition of logic and showing how applying logic can effectively improve work in medicine. Fuzzy Expert Systems for diagnosis of urinary incontinence, Parkinson's disease, including neurological signs in domestic animals, as well as its implementation for diagnosis of prostate cancer are elaborately discussed.

scholarly journals Clinical Documentation to Predict Factors Associated with Urinary Incontinence Following Prostatectomy for Prostate Cancer

2020 ◽  
Vol Volume 12 ◽  
pp. 7-14
Author(s):  
Kevin Li ◽  
Imon Banerjee ◽  
Christopher J Magnani ◽  
Douglas W Blayney ◽  
James D Brooks ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Urinary Incontinence ◽  
Clinical Documentation ◽  
Factors Associated

scholarly journals Quality-of-Life Impact of Primary Treatments for Localized Prostate Cancer in Patients Without Hormonal Treatment

2010 ◽  
Vol 28 (31) ◽  
pp. 4687-4696 ◽  
Author(s):  
Yolanda Pardo ◽  
Ferran Guedea ◽  
Ferrán Aguiló ◽  
Pablo Fernández ◽  
Víctor Macías ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Prostate Cancer ◽  
Urinary Incontinence ◽  
Sexual Dysfunction ◽  
Radical Prostatectomy ◽  
Adverse Effects ◽  
Hormonal Treatment ◽  
External Radiotherapy

Purpose Earlier studies evaluating the effect on quality of life (QoL) of localized prostate cancer interventions included patients receiving adjuvant hormone therapy, which could have affected their outcomes. Our objective was to compare the QoL impact of the three most common primary treatments on patients who were not receiving adjuvant hormonal treatment. Patients and Methods This was a prospective study of 435 patients treated with radical prostatectomy, external-beam radiotherapy, or brachytherapy. QoL was assessed before and after treatment with the Short Form-36 and the Expanded Prostate Cancer Index Composite. Differences between groups were tested by analysis of variance. Distribution of outcome at 3 years was examined by stratifying according to baseline status. Generalized estimating equation models were constructed to assess the effect of treatment over time. Results Compared with the brachytherapy group, the prostatectomy group showed greater deterioration on urinary incontinence and sexual scores but better urinary irritative-obstructive results (−18.22, −13.19, and +6.38, respectively, at 3 years; P < .001). In patients with urinary irritative-obstructive symptoms at baseline, improvement was observed in 64% of those treated with nerve-sparing radical prostatectomy. Higher bowel worsening (−2.87, P = .04) was observed in the external radiotherapy group, with 20% of patients reporting bowel symptoms. Conclusion Radical prostatectomy caused urinary incontinence and sexual dysfunction but improved pre-existing urinary irritative-obstructive symptoms. External radiotherapy and brachytherapy caused urinary irritative-obstructive adverse effects and some sexual dysfunction. External radiotherapy also caused bowel adverse effects. Relevant differences between treatment groups persisted for up to 3 years of follow-up, although the difference in sexual adverse effects between brachytherapy and prostatectomy tended to decline over long-term follow-up. These results provide valuable information for clinical decision making.

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