[Evidence from pre-prostatectomy pelvic floor muscle training programmes for urinary continence outcomes after surgery]

Abstract

Radical prostatectomy is the treatment of choice in patients with localized prostate cancer. One of the surgical complications is urinary incontinence. Pelvic floor muscle exercises (PFMT) are used as the first therapeutic step.The objective of this study is to review the evidence of performing PFMT in these patients prior to surgery, for earlier recovery of continence. Four systematic reviews and meta-analyses have been carried out, as well as a prospective study, a retrospective study, a clinical trial and an observational study in favor of carrying out training before the intervention. According to the review carried out, there is a benefit from pre-surgical learning of PFMT on the recovery of continence, but only in the short term. Improves the perception of quality of life. It would be necessary to standardize training programs and conduct studies with larger samples.

Keywords: Incontinence; Incontinencia; Musculatura; Musculature; Pelvic floor; Prostatectomy; Prostatectomía; Suelo pélvico.