Terapia de biofeedback e exercícios para assoalho pélvico em indivíduos pós-prostatectomia radical robótica: uma revisão integrativa
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Data
2024-07
Tipo de documento
Artigo Científico
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ISSN da Revista
Título de Volume
Área do conhecimento
Modalidade de acesso
Acesso aberto
Editora
Autores
NEVES, Ellen Cristine Mautone
Orientador
GUIDOTI, Augusto Baumhardt
Coorientador
Resumo
Introdução: Prostatectomia Radical (PR) é um método reconhecido e eficaz para o tratamento do câncer de próstata.
No entanto, um dos efeitos colaterais que afetam a qualidade de vida dos pacientes é a incontinência urinária. O
tratamento conservador atual para a incontinência urinária pós-prostatectomia inclui treinamento do assoalho pélvico
e o uso do biofeedback. Considerando a importância de seguir um tratamento adequado, essa pesquisa busca contribuir
para uma compreensão dessas abordagens terapêuticas, não apenas para melhorar a parte clínica, mas oferecer aos
pacientes uma alternativa mais eficaz. Objetivo: analisar a eficácia do biofeedback e dos exercícios do assoalho pélvico
na redução dos sintomas da incontinência urinária em pacientes submetidos à prostatectomia radical robótica. Método:
este estudo trata-se de um levantamento bibliográfico realizado por meio do método de revisão integrativa, utilizando
as plataformas bibliográficas digitais PubMed, PEDro e Medline para coleta de dados, no qual, foram utilizados artigos
científicos em inglês, publicados entre os anos de 2014- 2024, obtidos através da pesquisa pelos termos em inglês:
“radical prostatectomy”, “urinary incontinence”, “prostatectomy”, ‘‘pelvic floor muscle training’’ e “biofeedback”.
Resultados: foram analisados quatro ensaios clínicos e duas revisões sistemáticas e metanálise que abordaram a terapia
de biofeedback e dos exercícios do assoalho pélvico no manejo da incontinência urinária de indivíduos pósprostatectomia radical robótica, demonstrando melhoras significativas dos pacientes após a realização dessa terapia,
obtendo assim como resultado a melhora na qualidade de vida do paciente e reduzindo as complicações relacionadas à
cirurgia. Conclusão: podemos concluir que o uso de terapias não invasivas para o tratamento da incontinência urinária
na pós-PR guiadas com biofeedback ou com o treinamento muscular do assoalho pélvico aumentammais a sua eficácia,
além da melhora da taxa de recuperação da incontinência urinária no início do tratamento de pacientes submetidos a
PR.
Introduction: Radical Prostatectomy (RP) is a recognized and effective method for treating prostate cancer, however one of the side effects that affect patients' quality of life is urinary incontinence. Current conservative treatment for post-prostatectomy urinary incontinence includes pelvic injury training and the use of biofeedback. Considering the importance of following appropriate treatment, this research seeks to contribute to an understanding of these therapeutic approaches, not only to improve the clinical aspect, but to offer patients a more effective alternative. Objective: to analyze the effectiveness of biofeedback and pelvic exercise exercises in reducing symptoms of urinary incontinence in patients undergoing robotic radical prostatectomy. Method: this study is a bibliographic survey carried out using the integrative review method, using the digital bibliographic platforms PubMed, PEDro and Medline for data collection, in which scientific articles in English, published between the years of 2014- 2024, obtained through the search for the terms in English: “radical prostatectomy”, “urinary incontinence”, “prostatectomy”, ''pelvic floor muscle training'' and “biofeedback”. Results: four clinical trials and two systematic reviews and meta-analyses were analyzed that addressed biofeedback therapy and pelvic exercise exercises in the management of urinary incontinence in individuals after robotic radical prostatectomy, demonstrating significant improvements in patients after undergoing this therapy, resulting in an improvement in the patient's quality of life and a reduction in complications related to surgery. Conclusion: we can conclude that the use of non-invasive therapies for the treatment of post-RP urinary incontinence guided with biofeedback or together with pelvic training muscle training further increases their effectiveness, in addition to improving the recovery rate from early urinary incontinence. of the treatment of patients undergoing RP
Introduction: Radical Prostatectomy (RP) is a recognized and effective method for treating prostate cancer, however one of the side effects that affect patients' quality of life is urinary incontinence. Current conservative treatment for post-prostatectomy urinary incontinence includes pelvic injury training and the use of biofeedback. Considering the importance of following appropriate treatment, this research seeks to contribute to an understanding of these therapeutic approaches, not only to improve the clinical aspect, but to offer patients a more effective alternative. Objective: to analyze the effectiveness of biofeedback and pelvic exercise exercises in reducing symptoms of urinary incontinence in patients undergoing robotic radical prostatectomy. Method: this study is a bibliographic survey carried out using the integrative review method, using the digital bibliographic platforms PubMed, PEDro and Medline for data collection, in which scientific articles in English, published between the years of 2014- 2024, obtained through the search for the terms in English: “radical prostatectomy”, “urinary incontinence”, “prostatectomy”, ''pelvic floor muscle training'' and “biofeedback”. Results: four clinical trials and two systematic reviews and meta-analyses were analyzed that addressed biofeedback therapy and pelvic exercise exercises in the management of urinary incontinence in individuals after robotic radical prostatectomy, demonstrating significant improvements in patients after undergoing this therapy, resulting in an improvement in the patient's quality of life and a reduction in complications related to surgery. Conclusion: we can conclude that the use of non-invasive therapies for the treatment of post-RP urinary incontinence guided with biofeedback or together with pelvic training muscle training further increases their effectiveness, in addition to improving the recovery rate from early urinary incontinence. of the treatment of patients undergoing RP
Palavras-chave
Incontinência urinária, Prostatectomia, Biofeedback, Assoalho pélvico