ReviewJournal of cancer survivorship : research and practice2025
Structured and supervised pelvic floor muscle training following confirmed contraction in post-prostatectomy urinary incontinence: a systematic review of randomized controlled trials.
Review in Journal of cancer survivorship : research and practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeProstate cancer is the second most commonly diagnosed malignancy in men worldwide. Post-prostatectomy urinary incontinence (PP-UI) is a common and distressing complication that significantly reduces quality of life in prostate cancer survivors. This systematic review aimed to evaluate the effectiveness of structured and supervised pelvic floor muscle training (PFMT), initiated after confirmed pelvic floor muscle activation, delivered pre- or postoperatively, with or without biofeedback (BF), on symptom severity and continence-related quality of life.
methodsA comprehensive search of MEDLINE and Web of Science was conducted in December 2024. Twenty randomized controlled trials (RCTs) involving 2444 participants met inclusion criteria. All studies confirmed correct pelvic floor muscle contraction prior to intervention and implemented structured, supervised PFMT protocols. Risk of bias was assessed using the Cochrane RoB 2.0 tool, and study quality was evaluated using the GRADE framework. Due to heterogeneity in interventions and outcomes, a narrative synthesis was performed.
resultsThirteen of the twenty RCTs (65%) reported significant improvements in continence recovery and symptom severity with structured and supervised PFMT. Early initiation, higher training intensity, anterior compartment-focused training, and use of BF were associated with greater benefits. However, protocol and outcome variability limited consistency across studies.
conclusionsStructured and supervised PFMT based on confirmed muscle activation is a key component of effective PP-UI management. Early, intensive training under therapist guidance is likely to accelerate recovery and enhance continence outcomes. IMPLICATIONS FOR CANCER SURVIVORS: Targeted PFMT programs with confirmed muscle activation and professional supervision provide a safe, non-invasive, and potentially effective strategy to improve urinary continence and overall quality of life after prostate cancer treatment.
trial registrationPROSPERO ID: CRD42023387493.
Indexed as
Identifiers
40877548What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.