Effect of exercises on incontinence after radical prostatectomy : A systematic review / Eslam Reda Elsaid ; Supervised Zakaria Mowafy Emam Mowafy , Ahmed Abdellateef Moharram , Maha Abdelmonem Hasan

Thesis (M.Sc.) - Cairo University - Faculty of Physical Therapy - Department of Physical Therapy for Surgery

Background: Urinary incontinence (UI) after radical prostatectomy (RP) is a common and potentially devastating problem. Despite various improvements of the surgical technique and a better understanding of pelvic anatomy, studies indicate that 8% to 56% of men have UI at 1 year after RP. Several studies investigated the conservative treatment of urinary incontinence after RP. Most of these studies have compared pelvic floor training (PFT) with no therapy, intensive instructions or biofeedback by trained therapists, with the primary end point generally the number of continent patients or early recovery.All studies examined the effects of pelvic floor/sphincter training on the incontinence of prostate cancer patients in the aftercare of the disease. Pelvic floor/sphincter training programs during aftercare significantly reduce incontinence in patients with prostate cancer. Aim of study: The purpose of this study was to systematically review the effects of exercises on Incontinence after radical prostatectomy. Material and Methods: Systematic review of all published studies with all research designs except expert opinions. A search was made in PubMed, Cochrane library, Pedro and Google scholar Results: The four studies show the effectiveness of exercises on incontinence after radical prostatectomy. Conclusion: It was concluded that the current level of evidence to support the effectiveness of effect of exercises on incontinence after radical prostatectomy

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