ArticleCentral European journal of urology2025
Impact of preoperative pelvic floor muscle strength and endurance on urinary continence after radical prostatectomy: a sub-analysis of a randomized clinical trial.
Article in Central European journal of urology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: To assess the impact of preoperative pelvic floor muscle (PFM) strength on urinary incontinence (UI) after radical prostatectomy (RP). Material and methods: A total of 127 men who underwent surgical treatment for clinically localized prostate cancer in a tertiary university hospital were included in a sub-analysis. PFM strength (cmH Results: At 6 months post-RP, 45 of 127 (35.4%) men were continent. UI showed a strong negative (r = -0.7; p <0.001) association with preoperative PFM strength and a medium negative (r = -0.55; p <0.001) association with PFM endurance. PFM strength (odds ratio [OR] = 1.16, p <0.0001), PFM endurance (OR 1.6, p <0.0001), and preoperative prostate-specific antigen (OR = 0.87, p = 0.03) were the most significant predictors of continence in the univariate regression analysis. In the multivariate analysis, only PFM strength remained a significant predictor (OR = 1.13, p <0.001) of UI. The thresholds for PFM endurance and strength were 9.6 seconds and 98.9 cmH Conclusions: Preoperative PFM strength and endurance demonstrated significant associations with postoperative UI. Objectively measured preoperative PFM conditions could help identify patients at increased risk of UI after RP.
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