In-home rehabilitation program for urinary incontinence in women treated by surgery and radiotherapy for endometrial cancer: a single-case experimental study
Bernard S1, McLean L2, Hébert L1, Plante M3, Grégoire J3, Sebastianelli A3, Renaud M3, Froment M3, Moffet H1
1. Université Laval, 2. University of Ottawa, 3. CHU de Québec
KEYWORDS: Conservative Treatment, Mixed Urinary Incontinence, Pad Test, Female, Rehabilitation
Endometrial cancer is the fifth most incident cancer affecting women worldwide.[1] This cancer is treated primarily by surgical ablation of the uterus and appendices, while radiation therapy is the most frequently recommended adjuvant treatment. Urinary incontinence (UI) is reported by 30 to 80% of endometrial cancer survivors following these treatments. While pelvic floor muscle training (PFMT) and bladder training (BT) are two recommended first-line treatments for UI in women without a history of cancer, the benefits of these approaches for endometrial cancer survivors remain uncertain. Considering that challenges in access to healthcare are growing, mobile technologies may be a viable option to deliver rehabilitation interventions.[2] This study is the first to investigate the effects of an in-home rehabilitation program, including the use of the Elvie Trainer mobile technology, in women with UI who have been treated for endometrial cancer. Our main hypothesis was that at least 50% of participants would demonstrate improvements in their UI severity by the end of the program.
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