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Preoperative Pelvic Muscle Training for Continence Recovery After Prostatectomy: Yet Another Meta-Analysis?

Stefano Terzoni1, Serena Maruccia2, Laura Di Prisco3

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Neurourology and Urodynamics
|October 17, 2025
PubMed
Summary
This summary is machine-generated.

Preoperative pelvic floor muscle training (PFMT) may improve urinary incontinence recovery three months after prostatectomy. However, benefits were not significant at one, six, or twelve months post-surgery.

Keywords:
incontinencenursingprostatectomyrehabilitation

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Area of Science:

  • Urology
  • Rehabilitation Medicine
  • Evidence-Based Medicine

Background:

  • Urinary incontinence is a frequent complication following radical prostatectomy.
  • Existing meta-analyses on pelvic floor muscle training (PFMT) for continence recovery show inconsistent results.
  • This meta-analysis addresses gaps by including all relevant studies on preoperative PFMT.

Purpose of the Study:

  • To evaluate the effectiveness of preoperative PFMT, with or without biofeedback, on urinary continence recovery post-prostatectomy.
  • To synthesize current evidence on the impact of preoperative PFMT on post-prostatectomy incontinence.
  • To provide a comprehensive analysis of PFMT's role in improving continence after radical prostatectomy.

Main Methods:

  • Systematic review and meta-analysis adhering to PRISMA guidelines.
  • PICO framework: Patients (radical prostatectomy), Intervention (preoperative PFMT), Comparison (postoperative care), Outcome (continence recovery).
  • Searched PubMed, CINAHL, Scopus, Web of Science, PEdro; assessed quality using PEdro scale; analyzed data with random effects model.

Main Results:

  • Six studies were included in the analysis.
  • Preoperative PFMT did not significantly improve continence at 1 month (OR 2.01, p=0.37), 6 months (OR 1.28, p=0.95), or 12 months (OR 0.73, p=0.32).
  • A significant improvement in continence recovery was observed at 3 months post-surgery (OR 1.52, 95% CI [1.05-2.20], p=0.03).

Conclusions:

  • Preoperative PFMT shows potential to improve urinary continence recovery at the 3-month mark post-prostatectomy.
  • The benefits of preoperative PFMT on continence recovery were not statistically significant at 1, 6, or 12 months.
  • Further research with standardized assessment criteria is needed, particularly for robotic-assisted prostatectomy.