Cognitive-behavioral program to control lower urinary tract symptoms after radical prostatectomy: a randomized clinical trial
Lívia Cristina de Resende Izidoro, Luciana Regina Ferreira da Mata, Cissa Azevedo, Adriano Augusto Peclat de Paula, M. Graça Pereira, Jackelline Evellin Moreira dos Santos, Virgínia Visconde Brasil, Lizete Malagoni de Almeida Cavalcante Oliveira
Abstract
OBJECTIVE: to assess the effectiveness of a cognitive-behavioral program to control lower urinary tract symptoms after radical prostatectomy. METHODS: a randomized clinical trial study, with 41 participants randomized into intervention (n=20) and control (n=21), for three months. The intervention group received the cognitive-behavioral program, while the control group received routine guidance from the service. Outcome variables were urinary incontinence intensity and lower urinary tract symptoms, assessed by the Pad-Test and Urinary Incontinence Scale of Radical Prostatectomy and King's Health Questionnaire. RESULTS: at the end of the study, the intervention group had a lower urinary incontinence intensity (p≤0.001), and there were less chances of presenting changes in urinary frequency (p≤0.001), urinary urgency (p≤0.001), nocturia (p=0.005), stress urinary incontinence (p≤0.001) and urge incontinence (p≤0.045). CONCLUSION: the cognitive-behavioral program was effective in reducing lower urinary tract symptoms after radical prostatectomy. Brazilian Clinical Trial Registry: RBR-3sstqg.