Efficacy of Pelvic Floor Exercise for Post-prostatectomy Incontinence: Systematic Review and Meta-analysis

Park, Jae Joon; Kwon, Allison; Park, Jun Yong; Shim, Sung Ryul; Kim, Jae Heon

doi:10.1016/j.urology.2022.04.023

Cited by 6 publications

(15 citation statements)

References 29 publications

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“…Therefore, we eventually included 18 systematic reviews and meta-analyses in this article (Figure 1). 18–31,34–37…”

Section: Resultsmentioning

confidence: 99%

“…Only four studies registered their protocols before the review began. 21,26,30,31 Only three studies conducted a comprehensive literature search, 25,26,35 and the rest were partial searches. Most studies performed a two-person repeat screening of the literature, except for five studies.…”

Section: Methodological Qualitymentioning

confidence: 99%

“…Eleven studies used appropriate tools to assess the risk of bias for each included study. 20,22,24,25,27,29,30,[34][35][36][37] One study did not use appropriate statistical methods for data combination because it still used a fixed-effects model when heterogeneity was large. 24 Only five studies discussed their results without considering the possible impact of the risk of bias in the included studies.…”

Section: Methodological Qualitymentioning

confidence: 99%

“…Therefore, we eventually included 18 systematic reviews and meta-analyses in this article (Figure 1). [18][19][20][21][22][23][24][25][26][27][28][29][30][31][34][35][36][37]…”

Section: Study Selectionmentioning

confidence: 99%

“…Of the 18 studies, three were systematic reviews, 27,28,31 five were meta-analyses, 22,23,29,30,34 and the remaining 10 were systematic reviews and meta-analyses. [18][19][20][21][24][25][26][35][36][37] The original study types included in one study were prospective and retrospective studies, 24 one study included randomized controlled trials (RCTs) and retrospective studies, 19 one study included RCTs and prospective trials, 37 and the rest included only RCTs. Ten studies assessed the risk of bias of the included primary studies using the Cochrane Collaboration's Risk of Bias Tool, 20,22,24,25,29,30,[34][35][36][37] and one study 27 assessed the quality of concealment of treatment allocation for randomization based on the scale developed by Schulz et al 40 Four studies assessed the quality of evidence using the Physiotherapy Evidence Database (PEDro), 21,23,28,31 two studies used the Oxford Centre for Evidence-Based Medicine (OCEBM), 18,19 and one study used GRADE.…”

Section: Study Characteristicsmentioning

confidence: 99%

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Effect of pelvic floor muscle training on urinary incontinence after radical prostatectomy: An umbrella review of meta-analysis and systematic review

Yang

et al. 2022

Clin Rehabil

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Objective To analyse the specific exercise effects of pelvic floor muscle training (PFMT) with or without biofeedback or electrical stimulation on urinary incontinence rehabilitation after radical prostatectomy. Data sources We searched PubMed, Embase, Cochrane Database of Systematic Reviews, Web of Science and Scopus databases for systematic reviews and meta-analyses on PFMT for urinary incontinence after radical prostatectomy from inception to 3 October 2022. Review methods Two authors independently extracted key data from the included studies. The methodological quality of the included studies was assessed using the A Measure Tool to Assess Systematic Reviews-2 checklist. Grading of Recommendations Assessment Development and Evaluation was used to evaluate the quality of the outcomes. Results A total of 18 studies with 29,925 patients were included, all of which were of critically low methodological quality. Biofeedback therapy seemed to show additional benefits compared to PFMT alone; however, the adjunctive role of electrical stimulation remained more controversial due to the lack of strong evidence. Preoperative PFMT sometimes, but not always, showed the potential to improve urinary incontinence. PFMT with the guidance of a therapist could bring some benefits to the patient and was more acceptable to the patient, but consumed some medical resources. Conclusions PFMT has a good effect on improving post-radical prostatectomy incontinence in men, and biofeedback can have an additional beneficial effect on patients, especially in the short-term and medium-term. However, there is insufficient evidence to suggest that electrical stimulation is beneficial for patients with urinary incontinence.

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“…Therefore, we eventually included 18 systematic reviews and meta-analyses in this article (Figure 1). 18–31,34–37…”

Section: Resultsmentioning

confidence: 99%

Section: Methodological Qualitymentioning

confidence: 99%

Section: Methodological Qualitymentioning

confidence: 99%

“…Therefore, we eventually included 18 systematic reviews and meta-analyses in this article (Figure 1). [18][19][20][21][22][23][24][25][26][27][28][29][30][31][34][35][36][37]…”

Section: Study Selectionmentioning

confidence: 99%