Behavioral training in the treatment of urinary incontinence post-prostatectomy

Urinary incontinence post-prostatectomy is a common, disruptive and potentially disabling condition in which the subject complains of involuntary leakage of urine. This study was performed in order to detect the effectiveness of behavioral training in the treatment of urinary incontinence post prostatectomy. In addition, urodynamic and cystometric measures as important parameters in these subjects. In this prospective, randomized, controlled study, forty male patients with moderate intensity of urinary incontinence were included. Urinary bladder compliance, detrusor stability and bladder volume at maximum cystometric capacity were assessed by urodynamic machine. All of the parameters were evaluated before and after 36 sessions from the beginning of the treatment. Twenty cases underwent behavioral training and interferential current therapy, while only interferential current therapy was applied in the remaining twenty cases. Behavioral training included habit changes for managing symptoms and promoting bladder health as well as Training techniques for managing symptoms .Detrusor stability and bladder compliance showed non significant difference after the treatment while, the bladder volume at maximum cystometric capacity showed a significant difference in both groups at the end of the study. Physical therapy modalities used in this study are applied easily and non invasive. It can be concluded that behavioral training can be used effectively in patients with urinary incontinence in combination with interferential current therapy.