The Impact Of Pelvic Floor Muscle Training On Urinary Incontinence In Men After Radical Prostatectomy (RP) – A Systematic Review
Received 22 August 2019
Accepted for publication 17 October 2019
Published 12 November 2019 Volume 2019:14 Pages 1997—2005
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 3
Editor who approved publication: Dr Richard Walker
Agnieszka Strączyńska, Magdalena Weber-Rajek, Katarzyna Strojek, Zuzanna Piekorz, Hanna Styczyńska, Aleksander Goch, Agnieszka Radzimińska
Department of Physiotherapy, Nicolaus Copernicus University in Torun Collegium Medicum in Bydgoszcz, Bydgoszcz, Poland
Correspondence: Magdalena Weber-Rajek
Department of Physiotherapy, Nicolaus Copernicus University in Torun Collegium Medicum in Bydgoszcz, ul. Jagiellońska 13-15, Bydgoszcz 85-067, Poland
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
This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.Download Article [PDF] View Full Text [HTML][Machine readable]