Preoperative pelvic floor muscle exercise for continence after radical prostatectomy: a systematic review and meta-analysis
ObjectiveWe performed a systematic review and meta-analysis to evaluate the effect of preoperative pelvic floor muscle exercise on urinary incontinence after radical prostatectomy.MethodsWe searched the literature for randomized controlled trials evaluating the diagnostic analysis of preoperative pe...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-07-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1186067/full |
| _version_ | 1797768386832236544 |
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| author | Luqiang Zhou Yu Chen Xiaojuan Yuan Lijing Zeng Jingzhen Zhu Ji Zheng |
| author_facet | Luqiang Zhou Yu Chen Xiaojuan Yuan Lijing Zeng Jingzhen Zhu Ji Zheng |
| author_sort | Luqiang Zhou |
| collection | DOAJ |
| description | ObjectiveWe performed a systematic review and meta-analysis to evaluate the effect of preoperative pelvic floor muscle exercise on urinary incontinence after radical prostatectomy.MethodsWe searched the literature for randomized controlled trials evaluating the diagnostic analysis of preoperative pelvic floor muscle exercise (PFME) and postprostatectomy incontinence in the MEDLINE, EMBASE, PubMed, Cochrane Central Register of Controlled Trials (CENTRAL), PsycINFO, China Biomedical Literature Database, China Journal Full-text Database, Wanfang Database and Weipu Database. The retrieval time limit is from the establishment of the database to January 2023. We used a risk ratio with accompanying 95% confidence interval (CI) to express estimates. Reviewer Manager (RevMan) 5.1.0 was used to complete all statistical analyses.ResultsTwelve studies were included based on the selection criteria. The total number of patients included in the final analysis was 1,365. At 1th month, there was no difference in continence rates between the groups [odds ratio (OR): 0.47; 95% confidence interval (CI), 0.22–1.02, p = 0.06]. At 3th month, there was statistically significant difference in PFME group before operation (OR: 0.61; 95% CI, 0.37–0.98, p = 0.04). At 6th and 12th months, there was no difference between groups (OR: 0.57; 95% CI, 0.28–1.17, p = 0.13), (OR: 0.56; 95% CI, 0.27–1.15, p = 0.12).ConclusionPreoperative pelvic floor muscle exercise can improve postoperative urinary incontinence at 3rd months after radical prostatectomy, but it cannot improve urinary incontinence at 6th months or longer after surgery, which indicates that preoperative PFME can improve early continence rate, but cannot improve long-term urinary incontinence continence rate. |
| first_indexed | 2024-03-12T20:53:45Z |
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| id | doaj.art-19a6f9557b7e4a65904b531b8331f246 |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-03-12T20:53:45Z |
| publishDate | 2023-07-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-19a6f9557b7e4a65904b531b8331f2462023-07-31T22:25:45ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-07-011110.3389/fpubh.2023.11860671186067Preoperative pelvic floor muscle exercise for continence after radical prostatectomy: a systematic review and meta-analysisLuqiang ZhouYu ChenXiaojuan YuanLijing ZengJingzhen ZhuJi ZhengObjectiveWe performed a systematic review and meta-analysis to evaluate the effect of preoperative pelvic floor muscle exercise on urinary incontinence after radical prostatectomy.MethodsWe searched the literature for randomized controlled trials evaluating the diagnostic analysis of preoperative pelvic floor muscle exercise (PFME) and postprostatectomy incontinence in the MEDLINE, EMBASE, PubMed, Cochrane Central Register of Controlled Trials (CENTRAL), PsycINFO, China Biomedical Literature Database, China Journal Full-text Database, Wanfang Database and Weipu Database. The retrieval time limit is from the establishment of the database to January 2023. We used a risk ratio with accompanying 95% confidence interval (CI) to express estimates. Reviewer Manager (RevMan) 5.1.0 was used to complete all statistical analyses.ResultsTwelve studies were included based on the selection criteria. The total number of patients included in the final analysis was 1,365. At 1th month, there was no difference in continence rates between the groups [odds ratio (OR): 0.47; 95% confidence interval (CI), 0.22–1.02, p = 0.06]. At 3th month, there was statistically significant difference in PFME group before operation (OR: 0.61; 95% CI, 0.37–0.98, p = 0.04). At 6th and 12th months, there was no difference between groups (OR: 0.57; 95% CI, 0.28–1.17, p = 0.13), (OR: 0.56; 95% CI, 0.27–1.15, p = 0.12).ConclusionPreoperative pelvic floor muscle exercise can improve postoperative urinary incontinence at 3rd months after radical prostatectomy, but it cannot improve urinary incontinence at 6th months or longer after surgery, which indicates that preoperative PFME can improve early continence rate, but cannot improve long-term urinary incontinence continence rate.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1186067/fullprostate cancermeta-analysispelvic floor prostatectomyexerciseurinary incontinence |
| spellingShingle | Luqiang Zhou Yu Chen Xiaojuan Yuan Lijing Zeng Jingzhen Zhu Ji Zheng Preoperative pelvic floor muscle exercise for continence after radical prostatectomy: a systematic review and meta-analysis Frontiers in Public Health prostate cancer meta-analysis pelvic floor prostatectomy exercise urinary incontinence |
| title | Preoperative pelvic floor muscle exercise for continence after radical prostatectomy: a systematic review and meta-analysis |
| title_full | Preoperative pelvic floor muscle exercise for continence after radical prostatectomy: a systematic review and meta-analysis |
| title_fullStr | Preoperative pelvic floor muscle exercise for continence after radical prostatectomy: a systematic review and meta-analysis |
| title_full_unstemmed | Preoperative pelvic floor muscle exercise for continence after radical prostatectomy: a systematic review and meta-analysis |
| title_short | Preoperative pelvic floor muscle exercise for continence after radical prostatectomy: a systematic review and meta-analysis |
| title_sort | preoperative pelvic floor muscle exercise for continence after radical prostatectomy a systematic review and meta analysis |
| topic | prostate cancer meta-analysis pelvic floor prostatectomy exercise urinary incontinence |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1186067/full |
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