Therapeutic physical factors in the stage medical rehabilitation of patients with benign prostatic hyperplasia in the postoperative period: a randomized controlled study (based on long-term observations)

BACKGROUND: Benign prostatic hyperplasia is one of the most common urological diseases in older men. The incidence of complications arising after transurethral resection is quite high, despite the many developed surgical and rehabilitation medical technologies.

AIM: Is to study the efficiency of the staged medical rehabilitation of patients with benign prostatic hyperplasia after using pharmacotherapy and therapeutic physical factors according to long-term observations.

MATERIALS AND METHODS: Observations were carried out on 106 patients with benign prostatic hyperplasia after transurethral resection of the prostate gland. Using simple randomization, 2 groups were formed: the first (control; 1G, n=52) received treatment in accordance with clinical recommendations; the second (main; 2G, n=54) received staged rehabilitation: at the inpatient stage ― the immunomodulator Tamerit, in day care inpatients ― extracorporeal magnetic stimulation, in outpatients ― nordic walking. Assessment of the effectiveness of rehabilitation was carried out using I-PSS, QoL quality of life scale, uroflowmetry, determination of pelvic floor muscle strength according to the Oxford scale and load tolerance using the six-minute walk test.

RESULTS: Staged rehabilitation of patients with benign prostatic hyperplasia in the postoperative period ensured a significant restoration of the function of the neuromuscular apparatus of the pelvic floor, which was recorded on all scales and uroflowmetry. This led to a decrease in the frequency and severity of lower urinary tract symptoms, which was significantly more significant (p <0.05) in relation to the use of standard treatment measures. The well-known aftereffect of therapeutic physical factors contributed to the preservation of the positive effects achieved during rehabilitation for up to 6 months.

CONCLUSION: The inclusion of immunomodulators, extracorporeal magnetic stimulation and Nordic walking against the background of standardized drug therapy at various stages of rehabilitation ensures a significant restoration of the quality of life in patients with benign prostatic hyperplasia in the postoperative period.