Beneficial effects of biofeedback-assisted pelvic floor muscle training in patients with urinary incontinence after radical prostatectomy: A systematic review and metaanalysis |
| |
| Institution: | 1. School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan;2. Department of Nursing, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan;3. Sleep Science Center, Taipei Medical University Hospital, Taipei, Taiwan;1. School of Nursing, Faculty of Health Sciences, University of Ottawa, 451 Smyth Road, Ottawa, Ontario, Canada K1H 8M5;2. School of Nursing, Institute of Clinical Science, College of Medical and Dental Sciences, University of Birmingham, United Kingdom;3. School of Nursing, Faculty of Health Science, University of Ottawa, Ontario, Canada;4. Wolters Kluwer Health based in Ottawa, Ontario, Canada;5. Münster School of Health, Department of Health Care Education, University of Applied Science in Münster, Niedersachsen, Germany;6. Department of Nursing Sciences, Faculty of Health Sciences, Osnabrück University, Niedersachsen, Germany;7. The Ottawa Hospital, Ottawa, Ontario, Canada;1. School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan;2. Department of Nursing, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan;3. Sleep Science Center, Taipei Medical University Hospital, Taipei, Taiwan;1. Graduate Institute of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan;2. Department of Nursing, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan;3. Department of Nursing, Cardinal Tien College of Healthcare and Management, New Taipei City, Taiwan;4. Department of Endocrinology, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan;5. Sleep Science Center, Taipei Medical University Hospital, Taipei, Taiwan;1. VIA University College, Aarhus, Denmark;2. University of Nordland, Bodø, Norway;3. University of Agder, Grimstad, Norway;4. Oslo and Akershus University College of Applied Sciences, Oslo, Norway;5. Karolinska Institutet, Stockholm, Sweden;6. Sogn and Fjordane University College, Førde, Norway;7. University of Karlstad, Karlstad, Sweden;1. Department of Urology, Radboud University Medical Center, Nijmegen, The Netherlands;2. Department of Urology, Sohag University Hospital, Sohag, Egypt;3. Department of Urology, Ludwig-Maximilians-University, Munich, Germany;4. Department of Surgery, Urology Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA;5. Department of Urology, University Hospital KU, Leuven, Belgium;6. Department of Urology, University Hospital Tubingen, Tubingen, Germany |
| |
| Abstract: | ObjectivesThis systematic review and metaanalysis compared the effects of biofeedback-assisted pelvic floor muscle training with those of pelvic floor muscle training alone in patients with urinary incontinence after radical prostetactomy.DesignA review and metaanalysis study design.Data sourcesThe metaanalysis was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and MetaAnalyses guidelines. A systematic search of PubMed/Medline OVID, the Cumulative Index to Nursing and Allied Health Literature, Cochrane Library, BioMed Central, Web of Science, Chinese Electronic Periodical Services, Chinese Journal and Thesis Database, and China National Knowledge Infrastructure was performed for retrieving records.Review methodsFor determining the effects of training type on urinary incontinence, randomized controlled trials on biofeedback-assisted pelvic floor muscle training with or without electrical stimulation were compared with those on pelvic floor muscle training with or without electrical stimulation, respectively, in the metaanalysis. The Cochrane Collaboration tool in the Cochrane Handbook for Systematic Review of Interventions 5.1.0 was used to assess the methodological quality of the included trials. Subjective and objective measurement of urinary incontinence improvement and the quality of life were the primary and secondary outcome measures, respectively. Data were analyzed using Comprehensive Meta-Analysis software 2.0. In addition, subgroup analyses and metaregression were performed to explore the possible sources of heterogeneity.ResultsThirteen randomized controlled trials involving 1108 patients with prostatectomy incontinence were included. The immediate-, intermediate-, and long-term effects of objectively measured biofeedback-assisted pelvic floor muscle training on urinary incontinence were significant (mean effect size = −0.316, −0.335, and −0.294; 95% CI: −0.589 to −0.043, −0.552 to −0.118 and −0.535 to −0.053; p = 0.023, 0.002, and 0.017, respectively) when compared with those of pelvic floor muscle training alone. However, when urinary incontinence was measured subjectively, only the intermediate and long-term effects of biofeedback were found (p = 0.034 and 0.005, respectively). Small-to-moderate immediate- and intermediate-term effects on the quality of life were observed when biofeedback-assisted pelvic floor muscle training was compared with pelvic floor muscle training alone. No publication bias was observed among studies.ConclusionsBiofeedback can be an adjunct treatment to pelvic floor muscle training for reducing urinary incontinence in patients who have undergone radical prostatectomy. |
| |
| Keywords: | Prostatectomy Biofeedback Pelvic floor muscle training Urinary incontinence |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
