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

Authors Strączyńska A, Weber-Rajek M, Strojek K, Piekorz Z, Styczyńska H, Goch A, Radzimińska A

Received 22 August 2019

Accepted for publication 17 October 2019

Published 12 November 2019 Volume 2019:14 Pages 1997—2005

DOI https://doi.org/10.2147/CIA.S228222

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
Email magdawr69@gmail.com

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

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