Novais Camila Chaves Dos Santos, Santana Adélia Regina Oliveira da Rosa, Moura da Paz Alisson Rodrigo, Carnaúba Aline Tenório Lins, Andrade Kelly Cristina Lira de, Menezes Pedro de Lemos
Northeast Biotechnology Network (RENORBIO), Universidade Federal de Alagoas (UFAL), Maceió, Alagoas, Brazil.
Northeast Biotechnology Network (RENORBIO), Universidade Federal de Alagoas (UFAL), Maceió, Alagoas, Brazil.
Clinics (Sao Paulo). 2025 May 13;80:100687. doi: 10.1016/j.clinsp.2025.100687. eCollection 2025.
To identify the impact of using electromyographic biofeedback on pelvic floor rehabilitation in men with post-prostatectomy urinary incontinence.
Searches in the databases were carried out: Pubmed/Medline, Latin American and Caribbean Literature in Health Sciences, Physiotherapy Evidence Database, Cochrane Library, Embase, Scopus, Web of Science, and in gray literature. The study included randomized clinical trials that treated men with post-prostatectomy urinary incontinence using electromyographic biofeedback in pelvic rehabilitation compared to other resources or no treatment. Studies including incontinent men with sphincter implants, pharmacological treatments, or studies with incomplete data were excluded. Assessment of risk of bias using the Critical Appraisal Tool developed by Joanna Briggs Institute for randomized clinical trials and the GRADE approach to assess the certainty of evidence of meta-analysis results were used.
16 articles were included, of which, 7 studies were subjected to two meta-analyses to assess the relative risk of men becoming continent and the reduction of urine loss through pad. Participants who received treatment showed a 1.78 times greater risk of achieving continence compared to those who did not receive treatment (RR = 1.78; 95% CI 1.29‒2.45; I = 77%). The limitations of the present study are the lack of high-quality evidence, in which existing trials suffered from a lack of standardized outcome measures.
Electromyographic biofeedback in pelvic rehabilitation seems to contribute to the faster achievement of continence in prostatectomized men compared to those who did not undergo any intervention. Additionally, helps to reduce pad weight.
确定肌电图生物反馈对前列腺切除术后尿失禁男性盆底康复的影响。
在以下数据库进行检索：PubMed/Medline、拉丁美洲和加勒比地区卫生科学文献数据库、物理治疗证据数据库、Cochrane图书馆、Embase、Scopus、科学引文索引，以及灰色文献。该研究纳入了随机临床试验，这些试验将使用肌电图生物反馈进行盆底康复治疗的前列腺切除术后尿失禁男性与其他治疗方法或不治疗进行比较。排除包括有括约肌植入物的失禁男性、药物治疗或数据不完整的研究。使用乔安娜·布里格斯研究所开发的随机临床试验批判性评估工具评估偏倚风险，并采用GRADE方法评估荟萃分析结果的证据确定性。
纳入16篇文章，其中7项研究进行了两项荟萃分析，以评估男性恢复控尿的相对风险以及通过尿垫减少尿液流失的情况。接受治疗的参与者实现控尿的风险比未接受治疗的参与者高1.78倍（RR = 1.78；95% CI 1.29‒2.45；I² = 77%）。本研究的局限性在于缺乏高质量证据，现有试验缺乏标准化的结局指标。
与未接受任何干预的男性相比，盆底康复中的肌电图生物反馈似乎有助于前列腺切除术后男性更快地实现控尿。此外，有助于减轻尿垫重量。
