Non-invasive biofeedback-assisted vs. conventional pelvic floor muscle training combined with high-effort resistance training for urinary incontinence after radical prostatectomy: a randomized controlled trial.
Marko Babović, David Aguayo, Joachim Wiskemann
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In 30 seconds
This randomized controlled trial compared the effects of non-invasive biofeedback-assisted pelvic floor muscle training (dPFMT) and conventional physiotherapeutic pelvic floor muscle training (pPFMT) combined with high-effort resistance training on urinary incontinence in men post-radical prostatectomy. Both interventions significantly reduced urinary leakage, with no significant difference in treatment success rates between groups (52.1%).
Key findings
- Both dPFMT and pPFMT groups showed a significant reduction in urinary leakage (Mean: -86.39 g; p < 0.001).
- Treatment success was achieved by 52.1% of participants, with no significant difference between groups (OR = 1.19; p = 0.670).
- In post hoc analysis, dPFMT showed a greater relative reduction in urinary leakage compared to pPFMT (-83.97% vs. -74.68%; p = 0.017).
- Time since surgery negatively predicted treatment success (p < 0.001).
Why it matters
Understanding the effectiveness of different pelvic floor muscle training methods can help clinicians optimize rehabilitation strategies for urinary incontinence following radical prostatectomy, potentially improving patient outcomes.