Do features of randomized controlled trials of pelvic floor muscle training for postprostatectomy urinary incontinence differentiate successful from unsuccessful patient outcomes? A systematic review with a series of meta‐analyses

2020 ◽  
Vol 39 (2) ◽  
pp. 533-546 ◽  
Author(s):  
Leanne M. Hall ◽  
Patricia Neumann ◽  
Paul W. Hodges
Keyword(s):  
Systematic Review ◽  
Urinary Incontinence ◽  
Pelvic Floor ◽  
Patient Outcomes ◽  
Pelvic Floor Muscle Training ◽  
Pelvic Floor Muscle ◽  
Controlled Trials ◽  
Muscle Training ◽  
Randomized Controlled ◽  
Meta Analyses

scholarly journals Improvement of Continence Rate with Pelvic Floor Muscle Training Post-Prostatectomy: A Meta-Analysis of Randomized Controlled Trials

2014 ◽  
Vol 94 (2) ◽  
pp. 125-132 ◽  
Author(s):  
Rubén Arroyo Fernández ◽  
Antonio García-Hermoso ◽  
Montserrat Solera-Martínez ◽  
Ma. Teresa Martín Correa ◽  
Asunción Ferri Morales ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Radical Prostatectomy ◽  
Pelvic Floor ◽  
Pelvic Floor Muscle Training ◽  
Pelvic Floor Muscle ◽  
Meta Analysis ◽  
Controlled Trials ◽  
Muscle Training ◽  
Randomized Controlled ◽  
Continence Rate

Objective: The aim of this meta-analysis was to evaluate the evidence of the effect of pelvic floor muscle training on urinary incontinence after radical prostatectomy. Methods: A bibliographic search was conducted in four databases. Studies were grouped according to the intervention program (muscle training versus control and individual home-based versus physiotherapist-guided muscle training). Results: Eight studies were selected for meta-analysis after satisfying the selection criteria. The data show that pelvic floor muscle training improves continence rate in the short (RR = 2.16; p < 0.001), medium (RR = 1.45; p = 0.001) and long term (RR = 1.23; p = 0.019) after surgery. The number of randomized controlled trials and the heterogeneity in the study population and type of pelvic floor muscle training were the main limitations. Conclusion: Programs including at least three sets of 10 repetitions of muscle training daily appear to improve continence rate after radical prostatectomy. Our meta-analysis shows that muscle training programs for urinary incontinence provide similar results to those of physiotherapist-guided programs, therefore being more cost- effective.

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