Terapias alternativas para la recuperación temprana de la continencia urinaria posterior a la prostatectomía: una revisión sistemática

Magali Rezende de Carvalho, Francine Amaral Machado Nascimento da Silva, Isabelle Andrade Silveira

Resumen


Objetivo: Realizar una revisión sistemática de la evidencia sobre la eficacia de entrenamiento de los músculos del suelo pélvico (EMSP) en el tratamiento de la incontinencia urinaria posterior a la prostatectomía.
Métodos: Una revisión sistemática realizada em Ovid MEDLINE, EMBASE y LILACS en Portugués, Inglés y Español, límite de tiempo: 2005-2015.
Resultados: 9 estudios examinaron la eficacia de los asociados o no con la biorretroalimentación y la estimulación eléctrica TMAP.
Conclusión: El EMSP con o sin biorretroalimentación y la estimulación eléctrica pueden contribuir a la pronta recuperación de la continencia. Los pacientes con dificultad inicial de la identificación de los músculos del suelo pélvico pueden beneficiarse de sesiones de electroestimulación de biofeedback. Una mayor integración de la enfermera es posible en la atención relacionada con el pronto retorno de la continencia en pacientes post-prostatectomía mediante el establecimiento de los ejercicios de fortalecimiento del suelo pélvico y terapia conductual.


Palabras clave


Incontinencia urinaria; Prostatectomía; Diafragma de la pelvis; Músculos Suelo Pélvico; Cuidados de enfermería

Texto completo

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Referencias


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DOI: http://dx.doi.org/10.6018/eglobal.17.2.285871