Continence Outcome of Preoperative Pelvic Floor Muscle Training after Robotic-Assisted Laparoscopic Radical Prostatectomy: Randomized Controlled Trial
Abstract
Background: Incontinence is the second most bothersome outcome after robotic-assisted laparoscopic radical prostatectomy (RARP). Most patients will regain continence at one year, but pelvic floor muscle training (PFMT) may represent a valid treatment to improve postoperative urinary continence.
Objective: To determine the relationship between preoperative PFMT functional outcomes in patients undergoing RARP.
Materials and Methods: The present study was a randomized controlled trial. Sixty patients with clinically localized adenocarcinoma of the prostate between December 2020 and June 2022 were randomized into two groups: Group A included 30 patients in standard RARP and a pre-operative PFMT program, and Group B included 30 patients in which only standard RARP was performed. The primary outcome was continent status at 1, 3, and 6 months after surgery using the score from the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF). The higher score means poorer incontinence status. The secondary outcomes were continence status at 1, 3, and 6 months after surgery, assessed using the pad test score.
Results: The continent status at 1, 3, and 6 months postoperatively was evaluated by ICIQ-UI SF. The total mean score in Group A was better than that in Group B, but it was not statistically significant. The divided ICIQ-SF score by severity level showed a significant improvement in post-prostatectomy urinary incontinence at one month…
How strong is the evidence?
Evidence Hub reads this as a randomized trial, done in people. Its evidence level is 2 of 5 (High · randomized trial). Randomized trials of a reasonable size are the strongest single-study design. Reported size: 30 participants or records.
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