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

• Published in: Clinical interventions in aging Vol. 14; pp. 1997 - 2005
• Main Authors: Strączyńska, Agnieszka, Weber-Rajek, Magdalena, Strojek, Katarzyna, Piekorz, Zuzanna, Styczyńska, Hanna, Goch, Aleksander, Radzimińska, Agnieszka
• Format: Journal Article
• Language: English
• Published: New Zealand Dove Medical Press Limited 01.11.2019; Taylor & Francis Ltd; Dove; Dove Medical Press
• Subjects: Age; Aged; Cancer therapies; Clinical trials; Evidence-based medicine; Exercise Therapy; Humans; Incontinence; Intervention; Kopernik, Mikolaj (Nicolaus Copernicus) (1473-1543); Laparoscopy; Male; Mens health; Middle Aged; Older people; Patients; Pelvic Floor - physiology; pelvic floor muscle training; Postoperative Period; Prostate cancer; prostatectomy; Prostatectomy - adverse effects; Quality of Life; Randomized Controlled Trials as Topic; Review; Surgery; Surgical outcomes; Systematic review; Treatment Outcome; Urinary incontinence; Urinary Incontinence - etiology; Urinary Incontinence - therapy; Urological surgery; Urology; Poland; prostatectomy; urinary incontinence; pelvic floor muscle training
• ISSN: 1178-1998; 1176-9092; 1178-1998
• DOI: 10.2147/CIA.S228222

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). 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. 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. 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.