Treinamento do assoalho pélvico e qualidade de vida pós-prostatectomia: revisão de escopo
DOI:
https://doi.org/10.30886/Resumo
Objetivo: Mapear a qualidade de vida relacionada à saúde de homens submetidos a prostatectomia que fazem treinamento da musculatura do assoalho pélvico (TMAP). Método: Revisão de escopo conduzida segundo as diretrizes do JBI e PRISMA-ScR, registrada na OSF, com buscas sistemáticas nas bases PubMed, Scopus, Cochrane Library, Web of Science, LILACS e repositório JBI, além de literatura cinzenta. Incluíram-se estudos, sem restrição de desenho ou idioma, que avaliaram a qualidade de vida com instrumentos validados. Resultados: Foram incluídos 20 estudos publicados entre 1999 e 2024, a maioria ensaios clínicos randomizados, conduzidos em diferentes países. O TMAP, quando aplicado no pré e/ou pós-operatório, mostrou benefícios na recuperação da continência urinária, da função sexual e da saúde mental, refletindo na melhora da qualidade de vida, especialmente quando iniciado precocemente. Os instrumentos mais utilizados para avaliação foram ICIQ-SF, KHQ, IIQ, EPIC-CP e I-QOL. Observou-se heterogeneidade quanto aos métodos, à duração e à intensidade das intervenções, o que dificultou comparações diretas e a realização de síntese quantitativa. Conclusão: O TMAP configura-se como intervenção promissora para mitigar os efeitos adversos da prostatectomia na qualidade de vida, sendo necessária padronização metodológica e desenvolvimento de protocolos consistentes que permitam reprodutibilidade e maior aplicabilidade clínica.
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Direitos autorais (c) 2026 Thalia Alves Chagas Menezes, Manuela, Abilio, José Mateus Pires, Kemyson, Marcelo
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
