Electrical Pudendal Nerve Stimulation for Post-Radical Prostatectomy Urinary Incontinence

This study compares the clinical efficacy of electrical pudendal nerve stimulation (EPNS) with pelvic floor muscle training (PFMT) in treating post-radical prostatectomy urinary incontinence (PRPUI). A total of 26 patients with PRPUI were divided into a treatment group (14 cases) and a control group (12 cases) based on their choice of therapy. The control group underwent PFMT, while the treatment group received EPNS. The number of pads used, 24-hr pad test and the International Consultation on Incontinence Questionnaire Short Form (ICI-Q-SF) were observed and scored for both groups before treatment and at 8 weeks of treatment, and the clinical efficacy was evaluated. Pelvic floor neuroelectrophysiology indicators of pudendal somatosensory evoked potentials, pudendal skin sympathetic reflex, bulbocavernosus reflex, and needle electromyography were also collected from 11 out of 26 patients. Compared with pretreatment, scores of the number of pads used, 24-hr pad test, ICI-Q-SF, and sum scores in both treatment and control groups decreased significantly after treatment ( p p p

Anesthesia · Prospective cohort study · Prostate cancer · Prostatectomy · Pudendal nerve · Stimulation · Urinary continence · Urinary incontinence · Medicine · Pelvic floor disorders treatments · Prostate Cancer Diagnosis and Treatment · Urinary Bladder and Prostate Research · Internal Medicine · Urology