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The Impact Of Pelvic Floor Muscle Training On Urinary Incontinence In Men After Radical Prostatectomy (RP) - A
Agnieszka Strączyńska1, Magdalena Weber-Rajek1, Katarzyna Strojek1
1Department of Physiotherapy, Nicolaus Copernicus University in Torun Collegium Medicum in Bydgoszcz, Bydgoszcz, Poland.
Clinical Interventions in Aging
|December 10, 2019
Summary
Pelvic floor muscle training (PFMT) effectively treats urinary incontinence (UI) in men post-radical prostatectomy (RP). This therapy enhances physical function and improves the quality of life for these patients.
Area of Science:
- Urology
- Rehabilitation Medicine
- Men's Health
Background:
- Radical prostatectomy (RP) frequently leads to urinary incontinence (UI) in men.
- Urinary incontinence significantly impacts patients' quality of life post-prostatectomy.
- Effective treatment strategies for post-prostatectomy UI are crucial.
Purpose of the Study:
- To evaluate the efficacy of pelvic floor muscle training (PFMT) for treating UI in men following RP.
- To synthesize evidence on various PFMT approaches in the context of post-prostatectomy recovery.
Main Methods:
- Systematic review of randomized controlled trials (RCTs) published between 2000-2019.
- Searched major databases: PubMed, ScienceDirect, and Cochrane Library.
- Included studies compared different PFMT protocols (clinic vs. home, pre/postoperative, supervised vs. unsupervised).
Main Results:
- Eight RCTs involving 1078 men (aged 45-75) were included.
- Patients had undergone radical retropubic prostatectomy or radical prostatectomy.
- PFMT interventions included pre/postoperative training, supervised/home-based programs, and combination therapies.
Conclusions:
- Pelvic floor muscle training (PFMT) is a proven effective treatment for post-radical prostatectomy urinary incontinence.
- PFMT demonstrates benefits beyond physical improvement, positively impacting patients' quality of life.
- Evidence supports the integration of PFMT into the management of men experiencing UI after RP.
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