Study of Magnetic Stimulation and Pelvic Floor Exercises to Treat Urinary Incontinence After Radical Prostatectomy in Men

What this Trial Is About

Researchers are studying urinary incontinence that can occur after radical prostatectomy, a common surgery for prostate cancer. This randomized controlled trial compares the effects of extracorporeal magnetic stimulation alone, pelvic floor muscle exercise alone, and the combination of both treatments on managing urinary incontinence following surgery. The study is expected to last seven years and involves male patients preparing for radical prostatectomy at Hamad General Hospitals urology department. Participants will be randomly assigned to one of three groups. Group A will receive 20 sessions of extracorporeal magnetic stimulation using the Magneto STYM device, with each session lasting 20 minutes, three times a week starting one month after catheter removal. Group B will receive the same magnetic stimulation sessions plus pelvic floor muscle training guided by a therapist. Group C will only perform pelvic floor muscle exercises as instructed by a therapist. The pelvic floor exercises involve contracting the anal sphincter muscles repeatedly. Participants will be followed for 18 months to monitor urinary incontinence symptoms. Researchers will measure outcomes using a one-hour pad test, the International Consultation on Incontinence Questionnaire - Short Form ICIQ-SF, urodynamic leak point pressure measured once six weeks after starting rehabilitation, and a quality of life score related to incontinence. The trial aims to provide strong evidence about the effectiveness of extracorporeal magnetic stimulation in managing post-surgery urinary incontinence.

Efficacy of Extracorporeal Magnetic Stimulation, Pelvic Floor Muscle Exercise, and Combination of Both in Management of Post Radical Prostatectomy Urinary Incontinence