Biofeedback Training for the Recovery of Urinary Continence After Prostatectomy: a Systematic Review

Hou

Journal of Clinical Nursing

et al. 2023

AimsTo describe and synthesize non‐pharmacological and nonsurgical interventions for male urinary incontinence from the existing literature.MethodsA scoping review was conducted following the methodology suggested by Arksey and O'Malley: (1) identification of the research questions; (2) identification of relevant studies using a three‐step search recommended by JBI: an initial search within PubMed and CINAHL, a comprehensive literature search within PubMed, CINAHL, EMBASE, PsycINFO, Cochrane Library, and literature search of references lists; (3) study selection; (4) data extraction and charting; (5) collation, summarization, and reporting of the results. The PRISMA‐ScR Checklist was used to report.ResultsA total of 4602 studies were identified, of which 87 studies were included. Approximately 78% were randomized controlled trials. More than 88% of the participants were men with prostate cancer. Exercising pelvic floor muscles 30 times per day for 12 weeks was the most frequently reported. Parameters of electrical stimulation were typically set up to 50 Hz and 300 μs for frequency and width of pulse, respectively, and lasted for 15 min. Pure pelvic floor muscle training, Pilates, Yoga, whole body vibration, diaphragm/abdominal muscle training, micturition interruption exercise, acupuncture, and auriculotherapy showed positive effects on reducing urinary incontinence.ConclusionThe findings suggested implementing pelvic floor muscle training alone before or after surgery can both prompt the recovery of continence in men after prostate cancer surgery. The decision to use biofeedback or electrical stimulation to enhance the therapeutic effect of pelvic floor muscle training should be approached with caution. More rigorous designed studies are needed to validate the effectiveness of Traditional Chinese Medicine techniques and diverse novel methods.Relevance to clinical practicePhysicians and nurses need to be up to date on the latest evidence‐based non‐pharmacological and nonsurgical interventions in male urinary incontinence and select appropriate interventions based on available medical resources and patient preferences.

Section: Resultssupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Non‐pharmacological and nonsurgical interventions in male urinary incontinence: A scoping review

Hou

Journal of Clinical Nursing

et al. 2023

“…Most authors recommended that supervised training should be performed independently at home daily [ 19 , 20 , 21 , 23 , 26 , 29 , 32 , 37 , 42 , 46 ] and that supervised training is much more effective and long-lasting than unsupervised PFMT. In most studies, home PFMT consisted of three sets of 10 [ 37 ], 15 [ 43 ], or 20 PFM contractions in a single session [ 19 ].…”

Section: Resultsmentioning

confidence: 99%

“…BF can also be combined with PFMT [ 16 , 19 , 21 , 35 , 41 , 46 ]. Studies have indicated that BF-assisted training can improve short-term and long-term continence more effectively than PFMT alone [ 67 ].…”

Section: Discussionmentioning

confidence: 99%

“… RoB analysis ( n = 55). Low risk studies: [ 16 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 35 , 36 , 37 , 39 , 40 , 41 , 42 , 43 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 ], some concerns studies: [ 17 , 18 , 34 , 38 , 44 , 54 ], high risk studies [ 62 , 72 , 73 , 74 , 75 , 76 , 77 , 78 , 79 , 80 , 81 , 82 , 83 , 84 , 85 , …”

Section: Figure A1mentioning

confidence: 99%

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Physiotherapy as an Effective Method to Support the Treatment of Male Urinary Incontinence: A Systematic Review

Mazur-Biały

Tim

Kołomańska-Bogucka

et al. 2023

JCM

Urinary incontinence (UI) is a serious health issue that affects both women and men. The risk of UI increases in men with age and after treatment for prostate cancer and affects up to 32% of men. Furthermore, UI may affect up to 69% of men after prostatectomy. Considering such a high incidence, it is critical to search for effective methods to mitigate this issue. Hence, the present review aims to provide an overview of physiotherapeutic methods and evaluate their effectiveness in treating UI in men. This systematic review was performed using articles included in PubMed, Embase, WoS, and PEDro databases. A total of 6965 relevant articles were found. However, after a risk of bias assessment, 39 studies met the inclusion criteria and were included in the review. The research showed that the available physiotherapeutic methods for treating men with UI, including those after prostatectomy, involve pelvic floor muscle training (PFMT) alone or in combination with biofeedback (BF) and/or electrostimulation (ES), vibrations, and traditional activity. In conclusion, PFMT is the gold standard of UI therapy, but it may be complemented by other techniques to provide a personalized treatment plan for patients. The effectiveness of the physiotherapeutic methods varies from study to study, and large methodological differences make it difficult to accurately compare individual results and draw unequivocal conclusions.

Barriers and facilitators of the implementation of the application of pelvic floor muscle training in patients with prostate cancer: a scoping review

Wang,

Li,

et al. 2023

Front. Public Health

BackgroundPatients with prostate cancer (PCa) benefit significantly from pelvic floor exercises, but recent results indicate that these exercises have not been fully promoted in clinical settings. This scoping review aimed to identify the facilitators of and barriers to pelvic floor muscle training (PFMT) in PCa survivors.MethodsA scoping review was conducted in November 2022. Relevant studies were identified from CINAHL, Embase, PubMed, PsycINFO, and Web of Science databases from their inception to 20 November 2022. Data were analyzed and extracted by two formally trained researchers.ResultsA total of 53 studies were included, most of which were randomized controlled trials. The Tailored Implementation for Chronic Diseases (TICD) model framework was used to identify the contents of seven barriers and promotion areas, as well as a series of sub-domains. The most common barriers to implementing pelvic floor muscle training (PFMT) included the following: the lack of a common scheme in guidelines and the measurement of common standardized outcomes, inadequate self-monitoring or feedback from healthcare professionals to improve PFMT compliance, poor patient compliance, and a lack of implementation equipment and financial support. Good treatment effects and easy operation were the facilitators of PFMT.ConclusionThe implementation of PFMT faces several challenges and opportunities that should be understood thoroughly before implementation. In terms of guidelines and clinical practice, more work is needed, and the possibility of PFMT implementation in various hospitals and community health centers or clinics should be considered.