SynthesisInternational braz j urol : official journal of the Brazilian Society of Urology
The effect of perioperative pelvic floor muscle exercise on urinary incontinence after radical prostatectomy: a meta-analysis.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.
- Pelvic floor rehabilitation in cancer survivorship: an umbrella review.Journal of cancer survivorship : research and practice · 2026Pooled it
- Timing and Cost Consideration in Surgery for Male Stress Urinary Incontinence For Current Urology Reports.Current urology reports · 2026Review
- Association between oxidative balance score, genetic susceptibility and nephrolithiasis: a cohort study based on the UK Biobank.European journal of nutrition · 2026Article
- Continence Recovery After Radical Prostatectomy: Personalized Rehabilitation and Predictors of Treatment Outcome.Diagnostics (Basel, Switzerland) · 2025Article
- Pelvic Floor Rehabilitation After Prostatectomy: Baseline Severity as a Predictor of Improvement-A Prospective Cohort Study.Journal of clinical medicine · 2025Article
- The inequalities and challenges of prehabilitation before cancer surgery: a narrative review.Anaesthesia · 2025Review
- Phenotypic stratification predicts the pace, but not the outcome, of continence recovery after radical prostatectomy.PloS one · 2025Article
- The Physical Activity and Cancer Control (PACC) framework: update on the evidence, guidelines, and future research priorities.British journal of cancer · 2024Review
- [Exercise therapy in prehabilitation : Current findings in urology].Urologie (Heidelberg, Germany) · 2023Review
- A new option in the treatment of erectile dysfunction highligheted in International Brazilian Journal of Urology.International braz j urol : official journal of the Brazilian Society of UrologyArticle
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPelvic floor muscle exercise (PFME) is the most common conservative management for urinary incontinence (UI) after radical prostatectomy (RP). We performed this meta-analysis to investigate whether PFME during the entire perioperative period, including before and after RP, can significantly improve the recovery of postoperative UI.
methodsWe systematically reviewed randomized controlled trials (RCT) from PubMed, Medline, web of science, Cochrane library, and clinicalitrials.com prior to October 2022. Efficacy data were pooled and analyzed using Review Manager Version 5.3. Pooled analyses of urinary incontinence rates 1, 3, 6, and 12 months postoperatively were conducted, using odds ratio (OR) and 95% confidence intervals (CIs).
resultsWe included a total of 15 RCT studies involving 2178 patients received RP. Postoperative UI could be improved after 1 month, 3 months and 6 months, and the OR were 0.26 (95%CI:0.15-0.46) 0.30 (95%CI: 0.11-0.80) 0.20 (95%CI: 0.07- 0.56) in postoperative PFME group compared to no PFME group. However, there was no significant difference between the two groups in 12 months after surgery, and the OR was 0.85(95%CI: 0.48,1.51). There were similar results in perioperative PFME group compared to no PFME group with the OR of 0.35 (95%CI: 0.12, 0.98) and 0.40 (95%CI: 0.21, 0.75) in 1 and 3 months after surgery. Our results indicated no significant difference between perioperative PFME group and postoperative PFME group. The OR was 0.58 (95%CI: 0.20-1.71) 0.58 (95%CI:0.20-0.71) and 0.66 (95%CI: 0.32-1.38) in 1, 3 and 6 months after surgery.
conclusionApplication of PFME after RP significantly reduced the incidence of early postoperative UI, and additional preoperative PFME had no significant improvement on the recovery of UI.
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