Browsing by Author "Sánchez Pilapanta, John Stalin"

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    FISIOTERAPIA EN PACIENTES POSTOPERATORIOS CON CÁNCER DE PRÓSTATA: REVISIÓN SISTEMÁTICA
    (2025-02-27) Sánchez Pilapanta, John Stalin; Peñafiel Luna, Andrea Carolina
    Introduction: Prostate cancer is one of the most common pathologies in men over 50 years old, and its treatment through radical prostatectomy significantly affects quality of life, especially in the urinary domain. Postoperative physiotherapy is key to improving these aspects, promoting urinary continence and overall well-being. Objective: To analyze the effectiveness of different physiotherapy modalities in the recovery of patients undergoing radical prostatectomy, focusing on urinary continence and erectile dysfunction. Methods: A systematic review was conducted following the PRISMA methodology, searching databases such as PubMed, Google Scholar, and Cochrane Central, covering studies published between 2019 and 2024. Sixteen studies were included, examining interventions such as pelvic floor exercises, physical agents, biofeedback, acupuncture, and combined approaches. Results: A total of 572 patients participated, of whom 345 were in the intervention group. Pelvic floor exercises combined with physical agents showed the best results in improving urinary continence and sexual quality of life. Acupuncture also stood out as an effective therapy for reducing urinary incontinence. Conclusions: Physiotherapy, with a multimodal and personalized approach, is essential to improve urinary continence and quality of life after radical prostatectomy. Additional studies are needed to standardize interventions and assess their long-term effectiveness.