Effects of Transcutaneous Perineal Stimulation Versus Anal Stimulation

Effects of Transcutaneous Perineal Stimulation Versus Anal Stimulation on Urinary Incontinence After Radical Prostatectomy

This study evaluates whether surface perineal stimulation is as effective as anal stimulation in reducing urinary incontinence secondary to radical prostatectomy.

Half of participants will receive a treatment with surface perineal stimulation, while the other half will receive a treatment with anal stimulation.

Pelvic floor muscle training is the most common non-invasive intervention for urinary incontinence secondary to radical prostatectomy. Perineal stimulation has a significant positive impact on the early recovery of urinary continence after this intervention.

The perineal stimulation can be applied with surface electrodes or with an intra-cavitary probe placed in the anus. The two techniques are commonly used. Each techniques stimulates different anatomical points of perineum, and it is a question if both have the same effectiveness or, one of the two techniques has greater effect than the other.

Inclusion Criteria:

• Having undergone a radical prostatectomy surgical procedure.
• Presenting involuntary urine losses after radical prostatectomy intervention. (IU grade I, II or III)
• Do not exceed the year since the surgical intervention.
• Accept to participate in the study and grant signed informed consent.

Exclusion Criteria:

• Follow a pharmacological treatment for the UI.
• Presenting anatomical malformations of the pelvic floor musculature.
• Carry pacemaker.
• Present anal fistulas.
• suffer from serious psychic disorders.
• Presenting lower urinary tract infections.