Early Recovery in Stress Urinary Incontinence Following Radical Prostatectomy in a 73 Year Old through Pelvic Floor Rehabilitation - A Case Report

  • Asmu Bhattarai Masters in Physiotherapy, OBG Department KLE Institute of Physiotherapy, Belagavi, India
  • Arati Mahishale Head, Department of OBG Physiotherapy, KLE Institute of Physiotherapy, Belagavi, India
Keywords: Stress Urinary Incontinence, Prostatectomy, Pelvic Floor Rehabilitation, Case Report

Abstract

Stress urinary incontinence is a common consequence after prostate surgery.The data supporting proper pelvic floor therapy for the same is limited. This case study is unique since it offers a thorough rehabilitation plan
for urinary incontinence after prostate surgery in a 73-year-old male for six weeks. Treatment with physical therapy included electrotherapy, pelvic floor strengthening, pelvic floor coordination with core, whole-
body vibration, and bladder retraining with behavioural guidance. Pad test showed a significant difference in the weight of the pad and scores on the Modified Oxford (MOG) Scale were adjusted from Grade III to Grade IV for pelvic floor strength. The reduction of scores from 70 to 41 points in The Kings Health Questionnaire and from 18 to 9 in International Consultation on Incontinence Questionnaire suggests improvement in quality of life specifically in physical limitations and severity measures. Pelvic floor rehabilitation, when administered with
appropriate dosage and protocol, results in early resolution of stress incontinence post prostate surgery in elderly males where a surgical approach seems sophisticated. Literature needs more proof based on
more rigorous research techniques.

How to cite this article:
Bhattarai A, Mahishale A. Early Recovery in Stress Urinary Incontinence Following Radical Prostatectomy in a 73 Year Old through Pelvic Floor Rehabilitation - A Case Report. Chettinad Health City Med J. 2025;14(1):98-102.

DOI: https://doi.org/10.24321/2278.2044.202513

References

Kotecha P, Sahai A, Malde S. Use of duloxetine for postprostatectomy stress urinary incontinence: a systematic review. Eur Urol Focus. 2021 May;7(3):618-28. [PubMed] [Google Scholar]

Published
2025-03-31