The Impact Of Pelvic Floor Muscle Training On Urinary Incontinence In Men After Radical Prostatectomy (RP) - A Systematic Review

Agnieszka Strączyńska, Magdalena Weber-Rajek, Katarzyna Strojek, Zuzanna Piekorz, Hanna Styczyńska, Aleksander Goch, Agnieszka Radzimińska, Agnieszka Strączyńska, Magdalena Weber-Rajek, Katarzyna Strojek, Zuzanna Piekorz, Hanna Styczyńska, Aleksander Goch, Agnieszka Radzimińska

Abstract

Purpose: The purpose of this study was to determine the efficacy of pelvic floor muscle training (PFMT) in the treatment of urinary incontinence (UI) in men after radical prostatectomy (RP).

Methods: PubMed, ScienceDirect, and Cochrane Library databases were searched for studies published in years 2000-2019. We included randomized controlled trials in English which compare clinic-based vs home-based PFMT, preoperative and postoperative PFMT, supervised vs unsupervised PFMT, and PFMT alone vs no treatment at all.

Results: Eight articles were included in the final review. There was a total of 1078 patients aged 45-75 in all study groups. The study participants received radical retropubic prostatectomy or radical prostatectomy. Included studies assessed the following interventions: preoperative and postoperative PFMT, supervised vs home-based PFMT, unsupervised PFMT vs no treatment at all, and PFMT combined with resistance and flexibility exercises vs PFMT alone.

Conclusion: PFMT is an effective treatment for urinary incontinence in men after radical prostatectomy. PFMT improves not only physical parameters but also the quality of life of men after RP.

Keywords: pelvic floor muscle training; prostatectomy; urinary incontinence.

Conflict of interest statement

The authors report no conflicts of interest in this work.

© 2019 Strączyńska et al.

Figures

Figure 1
Figure 1
Flow diagram of the study selection process.

References

    1. Pernar CH, Ebot EM, Wilson KM, Mucci LA. The epidemiology of prostate cancer. Cold Spring Harb Perspect Med. 2018;8(12):pii: a030361. doi:10.1101/cshperspect.a030361
    1. Rawla P. Epidemiology of prostate cancer. World J Oncol. 2019;10(2):63–89. doi:10.14740/wjon1191
    1. EAU Guidelines. Edn. presented at the EAU Annual Congress Barcelona Barcelona, Spain 2019.
    1. Nam RK, Cheung P, Herschorn S, et al. Incidence of complications other than urinary incontinence or erectile dysfunction after radical prostatectomy or radiotherapy for prostate cancer: a population-based cohort study. Lancet Oncol. 2014;15:223–231. doi:10.1016/S1470-2045(13)70606-5
    1. Schröder A, Abrams P, Andersson KE, et al. EAU guidelines on urinary incontinence. European Association of Urology 2010. Available from: Accessed October29, 2019.
    1. Liberati A, Altman DG, Tetzlaff J, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration. BMJ. 2009;339:b2700. doi:10.1136/bmj.b2700
    1. De Morton NA. The PEDro scale is a valid measure of the methodological quality of clinical trials: a demographic study. Aust J Physiother. 2009;55(2):129–133. doi:10.1016/S0004-9514(09)70043-1
    1. Centemero A, Rigatti L, Giraudo D, et al. Preoperative pelvic floor muscle exercise for early continence after radical prostatectomy: a randomised controlled study. Eur Urol. 2010;57:1039–1043. doi:10.1016/j.eururo.2010.02.028
    1. Dubbelman Y, Groen J, Wildhagen M, Rikken B, Bosch R. Urodynamic quantification of changes in detrusor function and pressure-flow parameters after radical prostatectomy: relation to postoperative continence status and the impact of intensity of pelvic floor muscle exercises. Neurourol Urodyn. 2012;31(5):637–641. doi:10.1002/nau.v31.5
    1. Filocamo MT, Li Marzi V, Del Popolo G, et al. Effectiveness of early pelvic floor rehabilitation treatment for post-prostatectomy incontinence. Eur Urol. 2005;48:734–738. doi:10.1016/j.eururo.2005.06.004
    1. Manassero F, Traversi C, Ales V, et al. Contribution of early intensive prolonged pelvic floor exercises on urinary continence recovery after bladder neck-sparing radical prostatectomy: results of a prospective controlled randomized trial. Neurourol Urodyn. 2007;26(7):985–989. doi:10.1002/(ISSN)1520-6777
    1. Nilssen SR, Mørkved S, Overgård M, Lydersen S, Angelsen A. Does physiotherapist-guided pelvic floor muscle training increase the quality of life in patients after radical prostatectomy? A randomized clinical study. Scand J Urol Nephrol. 2012;46(6):397–404. doi:10.3109/00365599.2012.694117
    1. Overgard M, Angelsen A, Lydersen S, Morkved S. Does physiotherapist-guided pelvic floor muscle training reduce urinary incontinence after radical prostatectomy? A randomised controlled trial. Eur Urol. 2008;54:438–448. doi:10.1016/j.eururo.2008.04.021
    1. Park SW, Kim TN, Nam JK, et al. Recovery of overall exercise ability, quality of life, and continence after 12-week combined exercise intervention in elderly patients who underwent radical prostatectomy: a randomized controlled study. Urology. 2012;80(2):299–305. doi:10.1016/j.urology.2011.12.060
    1. Patel MI, Yao J, Hirschhorn AD, Mungovan SF. Preoperative pelvic floor physiotherapy improves continence after radical retropubic prostatectomy. Inter J Urol. 2013;20(10):986–992.
    1. Wei Y, Wu YP, Lin MY, et al. Impact of obesity on long-term urinary incontinence after radical prostatectomy: a meta-analysis. Biomed Res Int. 2018;2018:8279523 Published 2018 Apr 3. doi:10.1155/2018/8279523
    1. American Joint Committee on Cancer. Prostate In: AJCC Cancer Staging Manual. 8th New York, NY: Springer; 2017:715–725.
    1. Gleason DF. The Veteran’s Administration Cooperative Urologic Research Group: histologic grading and clinical staging of prostatic carcinoma In: Tannenbaum M, editor. Urologic Pathology: The Prostate. Philadelphia: Lea and Febiger; 1977:171–198.
    1. Carter HB, Albertsen PC, Barry MJ, et al. Early detection of prostate cancer: AUA guideline. J Urol. 2013;190:419–426. doi:10.1016/j.juro.2013.04.119

Source: PubMed

스폰서 및 공동 작업자

건강 상태

약물 개입

3
구독하다