Penile vibratory stimulation in the treatment of post-prostatectomy incontinence: A randomized pilot study
Research output: Contribution to journal › Journal article › Research › peer-review
AIMS: To examine penile vibratory stimulation (PVS) in the treatment of post-prostatectomy urinary incontinence (UI).
METHODS: Patients with post-prostatectomy UI were included in a 12-week trial. A 24-hr pad test and a 72-hr voiding diary were collected at baseline. Participants were randomized to receive PVS for the first 6 weeks (group 1) or for the final 6 weeks (group 2) of the study. The primary outcome was the difference in leakage between groups 1 and 2 at 6 weeks as measured by changes in the pad test. The trial was registered at www.clinicaltrials.org (NCT01540656).
RESULTS: Data from 31 men were available for analyses. The difference in the change on the pad test between the groups did not reach statistical significance at 6 weeks (P = 0.13) while the change in incontinence episodes between groups approached statistical significance (P = 0.052). However, there was a median reduction of -33 g (P = 0.021) on the pad test and a median reduction in daily incontinence episodes of -1 (P = 0.023) in group 1 at 6 weeks. At 12 weeks, group 2 had a median decrease on the pad test of -8 g (P = 0.10) and no change in incontinence episodes. A pooled analysis showed a decline on the pad test of -13.5 g (P = 0.004) after PVS. Small improvements were seen in subjective symptom scores and 58% stated to be satisfied with PVS. Self-limiting side effects were experienced by 15% of patients.
CONCLUSIONS: PVS is feasible in the treatment of post-prostatectomy UI. Larger trials are needed to document the clinical efficacy.
Original language | English |
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Journal | Neurourology and Urodynamics |
Volume | 34 |
Issue number | 2 |
Pages (from-to) | 117-122 |
Number of pages | 6 |
ISSN | 0733-2467 |
DOIs | |
Publication status | Published - Feb 2015 |
- Aged, Feasibility Studies, Follow-Up Studies, Humans, Incidence, Incontinence Pads, Male, Middle Aged, Penis, Physical Stimulation, Pilot Projects, Prostatectomy, Self Report, Treatment Outcome, Urinary Incontinence, Vibration
Research areas
ID: 151945868