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- Title
Effect of pelvic floor muscle training on urinary incontinence after radical prostatectomy: An umbrella review of meta-analysis and systematic review.
- Authors
Yang, Jia-ming; Ye, Hua; Long, Yi; Zhu, Qiang; Huang, Hui; Xie, Hui-yong; Luo, Yun; Zhong, Yan-biao; Chen, Jing; Wang, Mao-yuan
- Abstract
Objective: To analyse the specific exercise effects of pelvic floor muscle training (PFMT) with or without biofeedback or electrical stimulation on urinary incontinence rehabilitation after radical prostatectomy. Data sources: We searched PubMed, Embase, Cochrane Database of Systematic Reviews, Web of Science and Scopus databases for systematic reviews and meta-analyses on PFMT for urinary incontinence after radical prostatectomy from inception to 3 October 2022. Review methods: Two authors independently extracted key data from the included studies. The methodological quality of the included studies was assessed using the A Measure Tool to Assess Systematic Reviews-2 checklist. Grading of Recommendations Assessment Development and Evaluation was used to evaluate the quality of the outcomes. Results: A total of 18 studies with 29,925 patients were included, all of which were of critically low methodological quality. Biofeedback therapy seemed to show additional benefits compared to PFMT alone; however, the adjunctive role of electrical stimulation remained more controversial due to the lack of strong evidence. Preoperative PFMT sometimes, but not always, showed the potential to improve urinary incontinence. PFMT with the guidance of a therapist could bring some benefits to the patient and was more acceptable to the patient, but consumed some medical resources. Conclusions: PFMT has a good effect on improving post-radical prostatectomy incontinence in men, and biofeedback can have an additional beneficial effect on patients, especially in the short-term and medium-term. However, there is insufficient evidence to suggest that electrical stimulation is beneficial for patients with urinary incontinence.
- Subjects
ONLINE information services; MEDICAL databases; MEDICAL information storage &; retrieval systems; CONFIDENCE intervals; RADICAL prostatectomy; MUSCLES; KEGEL exercises; SYSTEMATIC reviews; STRENGTH training; BIOFEEDBACK training; TREATMENT effectiveness; URINARY incontinence; PELVIC floor; ELECTRIC stimulation; DESCRIPTIVE statistics; RESEARCH funding; MEDLINE; ODDS ratio; EVALUATION
- Publication
Clinical Rehabilitation, 2023, Vol 37, Issue 4, p494
- ISSN
0269-2155
- Publication type
Article
- DOI
10.1177/02692155221136046