Male incontinence

Hi guys,

Please advise on physiotherapy management for male patients with urinary incontinence secondary to transurethral resection of the prostrate. Or any literature I could have a look at.

Many thanks

Thabiso

Hello Thabiso,

Really mysterious to work with incontinence both male and female. I have NOT worked with that problem. If I were you, I would search for anatomy of the muscles performing that function, then training these functions (motions).

Hope, others here provide input .

Cheers
Emad

hi there, you should start with pelvic floor strenghtening. there are a lot of exercises. also strengthening of the abdominal muscles and all surrounding hip muscles might be indicated. I did a study about whole body vibration and it seems to influence the urodynamics positivley as well. so if you have access to vibration therapy advice use them as an additive treatment.
good luck. cheers

Hi wutti. I think I need more info on 'whole body vibration' or a summary of the study.

hi basically the vibration therapy is based on the myostatic stretching reflex which means that you have muscle contraction and relaxation all the time during vibration. it works unconcious so you cant influence it. i did my study on animals and we checked the bone mineral density and changes of pressure in the bladder and urinate trackt.
it was all positivley influenced by VT or better known under whole body vibration WBV. Currently we are performing a study in osteoporosis patients and the changes of koordination and stability in daily life with WBV as an additive treatment.
i am using it as well as additive strengthening and stability training and it works out pretty well. so give it a try, its not the only way but a nice additive.
cheers