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Incontinence is a common complication after radical prostatectomy for localized prostate cancer. Urethral sling and artificial sphincter procedures can be performed to alleviate incontinence, but they have substantial risks. Behavioral therapy often is provided immediately after prostatectomy, but in this multisite U.S. trial, researchers explored its value in 208 men (mean age, 67) who underwent prostatectomies 1 to 17 years previously.
Patients were randomized to behavioral therapy (with or without electromyographic [EMG] biofeedback and pelvic floor electrical stimulation) or to delayed treatment (control). Behavioral therapy comprised four visits during 8 weeks, in which daily pelvic floor muscle exercises, exercise logs, voiding diaries…