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Conservative management of post prostatectomy incontinence
K N Moore1, D J Cody, C M Glazener
1Faculty of Nursing 3rd Floor Clinical Sciences Bldg, University of Alberta, Edmonton, Alberta, Canada, T6G 2G7. katherine.moore@ualberta.ca
The Cochrane Database of Systematic Reviews
|May 5, 2000
Summary
Conservative management for post-prostatectomy incontinence shows uncertain benefits. More high-quality trials are needed to determine effective treatments for urinary incontinence after prostatectomy.
Area of Science:
- Urology
- Pelvic Health
- Clinical Trials
Background:
- Urinary incontinence is a common complication following prostatectomy.
- Conservative management options include pelvic floor muscle training, biofeedback, and electrical stimulation.
Purpose of the Study:
- To evaluate the effectiveness of conservative management strategies for urinary incontinence in men post-prostatectomy.
Main Methods:
- Systematic review of randomized and quasi-randomized trials up to January 1999.
- Searches included multiple databases and conference proceedings.
- Two independent reviewers assessed study quality and abstracted data.
Main Results:
- Only five moderate-quality randomized trials with 365 men were identified, all focusing on radical prostatectomy.
- Data limitations prevented reliable identification of treatment effects.
- Men's incontinence symptoms tended to improve spontaneously over time.
Conclusions:
- The efficacy of current conservative management approaches for post-prostatectomy incontinence remains unclear.
- Further well-designed clinical trials are essential to establish effective interventions.