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You searched for +publisher:"Università degli Studi di Milano" +contributor:("tutor: Anne Lucia Leona Destrebecq"). One record found.

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1. S. Terzoni. L'INCONTINENZA URINARIA POST-PROSTATECTOMIA RADICALE RETROPUBICA: QUALITÀ DI VITA DEI PAZIENTI ED EFFICACIA DI DUE TRATTAMENTI CONSERVATIVI GESTITI DALL'INFERMIERE.

Degree: 2011, Università degli Studi di Milano

Introduction Urinary incontinence is a common problem after radical retropubic prostatectomy (RRP). Management strategies include conservative management, a series of treatment that do not imply neither surgery nor drugs. Conservative management includes pelvic floor muscle exercises (PFMEs), based on voluntary muscular contractions similar to those proposed by Kegel. Another rehabilitation technique is called “extracorporeal magnetic innervations” (ExMI), a special armchair that induces muscular contractions by using a magnetic field (passive rehabilitation). Both treatments can be performed by nurses, but their efficacy is unclear in literature. Goals The study was aimed at evalutating the role of PFMEs vs. no treatment in decreasing prostatic symptoms; clarifying the effects of PFMEs in time; comparing PFMEs vs. ExMI in decreasing urine leakage; investigating quality of life in patients with post-RRP urinary incontinence; identifying which prostatic symptoms investigated by the IPSS are linked between each other, since many patients are unable to completely describe their clinical situation and give a full report of the symptoms. Methods Quasi – experimental, non-randomized study. Convenience sample: 153 patients, prostate-limited cancer (2003-2010), indwelling catheter for max 8 days, regular flow after removal. 22 people refused rehabilitation after their RRP, but accepted to enter the study (control group). 88 underwent home and outpatient treatments with PFMEs, 23 were enrolled in the ExMI group. Assessment at 1, 3, 6, 12 months: International Prostate Symptom Score (IPSS) in each group, 24-h pad test in treated patients. End of treatment: loss<10 grams/day during muscular effort. Comparison between the groups was performed statistically. The IPSS questionnaires were analyzed in order to identify clusters of questions. EORTC PR-25 questionnaire was administered to treated patients, in order to investigate quality of life. 6 Results The IPSS score had a very good internal consistency in PFMEs patients (Cronbach‟s =0.9685); together with literature findings, this data supported the choice of such questionnaire in these patients. No significant difference between the IPSS prostatic symptom scores was detected at 1 month (Wilcoxon test: 2(8)=6.33, p=0.6104). Between 1 and 3 months, IPSS decreased more quickly in the PFMEs patients, in comparison with the control group, notwithstanding BMI and age (ANCOVA after PROBIT transformation: p=0.0008, R2=0.8163, 2 in the sample=0.1465). No significant difference was found at 6 months (Wilcoxon test,2(3)=1.51, p=0.68). After 6 weeks of treatment (the equivalent of a full ExMI cycle), 32.73% patients in the PFMEs group had reached the 10 g/day cutoff, vs. 63.88% in the ExMI group (log-rank test: 2(1)=16.287, p<0.0001). PFMEs could achieve comparable results between 10 and 11 weeks (Kaplan-Meier analysis). The clusters identified through the analysis of the IPSS questionnaires were not clinically useful, being predictable through basic clinical… Advisors/Committee Members: tutor: Anne Lucia Leona Destrebecq, coordinatore: Francesco Auxilia, DESTREBECQ, ANNE LUCIA LEONA, AUXILIA, FRANCESCO.

Subjects/Keywords: Settore MED/45 - Scienze Infermieristiche Generali; Cliniche e Pediatriche

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APA (6th Edition):

Terzoni, S. (2011). L'INCONTINENZA URINARIA POST-PROSTATECTOMIA RADICALE RETROPUBICA: QUALITÀ DI VITA DEI PAZIENTI ED EFFICACIA DI DUE TRATTAMENTI CONSERVATIVI GESTITI DALL'INFERMIERE. (Thesis). Università degli Studi di Milano. Retrieved from http://hdl.handle.net/2434/151772

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16th Edition):

Terzoni, S.. “L'INCONTINENZA URINARIA POST-PROSTATECTOMIA RADICALE RETROPUBICA: QUALITÀ DI VITA DEI PAZIENTI ED EFFICACIA DI DUE TRATTAMENTI CONSERVATIVI GESTITI DALL'INFERMIERE.” 2011. Thesis, Università degli Studi di Milano. Accessed November 22, 2019. http://hdl.handle.net/2434/151772.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7th Edition):

Terzoni, S.. “L'INCONTINENZA URINARIA POST-PROSTATECTOMIA RADICALE RETROPUBICA: QUALITÀ DI VITA DEI PAZIENTI ED EFFICACIA DI DUE TRATTAMENTI CONSERVATIVI GESTITI DALL'INFERMIERE.” 2011. Web. 22 Nov 2019.

Vancouver:

Terzoni S. L'INCONTINENZA URINARIA POST-PROSTATECTOMIA RADICALE RETROPUBICA: QUALITÀ DI VITA DEI PAZIENTI ED EFFICACIA DI DUE TRATTAMENTI CONSERVATIVI GESTITI DALL'INFERMIERE. [Internet] [Thesis]. Università degli Studi di Milano; 2011. [cited 2019 Nov 22]. Available from: http://hdl.handle.net/2434/151772.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Terzoni S. L'INCONTINENZA URINARIA POST-PROSTATECTOMIA RADICALE RETROPUBICA: QUALITÀ DI VITA DEI PAZIENTI ED EFFICACIA DI DUE TRATTAMENTI CONSERVATIVI GESTITI DALL'INFERMIERE. [Thesis]. Università degli Studi di Milano; 2011. Available from: http://hdl.handle.net/2434/151772

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

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