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Related Experiment Videos

Conservative management for postprostatectomy urinary incontinence.

K F Hunter1, C M A Glazener, K N Moore

  • 1University of Alberta Faculty of Nursing, Edmonton, Alberta, Canada. Kathleen.Hunter@ualberta.ca

The Cochrane Database of Systematic Reviews
|April 20, 2007
PubMed
Summary
This summary is machine-generated.

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See all related articles

Conservative management for post-prostatectomy urinary incontinence has uncertain benefits. Pelvic floor muscle training (PFMT) showed mixed results, and external penile clamps may help long-term but have safety concerns.

Area of Science:

  • Urology
  • Evidence-Based Medicine

Background:

  • Urinary incontinence is a common complication following radical prostatectomy (RP) and transurethral resection of the prostate (TURP).
  • Conservative management options include pelvic floor muscle training (PFMT), electrical stimulation, compression devices, and lifestyle changes.

Purpose of the Study:

  • To evaluate the effectiveness of conservative management strategies for urinary incontinence after prostatectomy.

Main Methods:

  • Systematic review of randomized and quasi-randomized controlled trials.
  • Searched multiple databases (MEDLINE, EMBASE, CINAHL, etc.) up to January 2006.
  • Assessed methodological quality and abstracted data from 17 included trials.

Main Results:

  • Seventeen trials (15 RP, 1 TURP, 1 either) showed considerable variation in interventions and outcomes.

Related Experiment Videos

  • Postoperative PFMT for RP incontinence yielded conflicting results; preventative PFMT also showed heterogeneity.
  • Data for other conservative interventions and TURP incontinence were inconclusive; symptoms often improved spontaneously over time.
  • Conclusions:

    • The efficacy of conservative management for postprostatectomy incontinence remains uncertain.
    • External penile clamps may offer long-term incontinence management but pose safety issues.
    • Further high-quality research is needed to clarify treatment effects.