Entrenamiento del suelo pélvico y calidad de vida después de la prostatectomía: una revisión de alcance

Autores/as

DOI:

https://doi.org/10.30886/

Resumen

Objetivo: Mapear la calidad de vida relacionada con la salud de los hombres sometidos a prostatectomía que realizan entrenamiento de los músculos del suelo pélvico. Método: Revisión de alcance realizada según las directrices del JBI y de Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR), registrada en Open Science Framework (OSF), con búsquedas sistemáticas en PubMed, Scopus, Cochrane Library, Web of Science, LILACS y el repositorio JBI, además de literatura gris. Se incluyeron estudios, sin restricción de diseño o idioma, que evaluaron la calidad de vida mediante instrumentos validados. Resultados: Se incluyeron 17 estudios publicados entre 2008 y 2024. El entrenamiento, cuando se aplicó en el período preoperatorio y/o postoperatorio, mostró beneficios en la recuperación de la continencia urinaria, la función sexual y la salud mental, lo que se reflejó en una mejora de la calidad de vida, especialmente cuando se inició de forma temprana. Los instrumentos más utilizados para la evaluación fueron International Consultation on Incontinence Questionnaire – Short Form, King's Health Questionnaire, Incontinence Impact Questionnaire, Expanded Prostate Cancer Index Composite for Clinical Practice e Incontinence Quality of Life Instrument. Conclusión: El entrenamiento se presenta como una intervención prometedora para mitigar los efectos adversos de la prostatectomía sobre la calidad de vida, siendo necesaria la estandarización metodológica y el desarrollo de protocolos consistentes que permitan la reproducibilidad y amplíen la aplicabilidad clínica.

Descargas

Los datos de descarga aún no están disponibles.

Referencias

1. Schafer EJ, Laversanne M, Sung H, Soerjomataram I, Briganti A, Dahut W, et al. Recent patterns and trends in global prostate cancer incidence and mortality: an update. Eur Urol. 2025;87(3):302-13. https://doi.org/10.1016/j.eururo.2024.11.013

2. Bergengren O, Pekala KR, Matsoukas K, Fainberg J, Mungovan SF, Bratt O, et al. 2022 update on prostate cancer epidemiology and risk factors: a systematic review. Eur Urol. 2023;84(2):191-206. https://doi.org/10.1016/j.eururo.2023.04.021

3. Gillessen S, Bossi A, Davis ID, Bono J, Fizazi K, James ND, et al. Management of patients with advanced prostate cancer. Part I: intermediate-/high-risk and locally advanced disease, biochemical relapse, and side effects of hormonal treatment: report of the Advanced Prostate Cancer Consensus Conference 2022. Eur Urol. 2023;83(3):267-93. https://doi.org/10.1016/j.eururo.2022.11.002

4. Bernardes MFVG, Mata LRF, Azevedo C, Izidoro LCR, Oliveira CMC, Chianca TCM. Effectiveness of systemic acupuncture in the control of urinary incontinence following radical prostatectomy: a randomized clinical trial. Rev Esc Enferm USP. 2022;56:e20220135. https://doi.org/10.1590/1980-220x-reeusp-2022-0135en

5. Anguas-Gracia A, Antón-Solanas I, Echániz-Serrano E, Subirón-Valera AB, Rodríguez-Roca B, Juárez-Vela R, et al. Quality of life after radical prostatectomy: a longitudinal study. Nurs Rep. 2023;13(3):1051-63. https://doi.org/10.3390/nursrep13030092

6. Breyer BN, Kim SK, Kirkby E, Marianes A, Vanni AJ, Westney OL. Updates to incontinence after prostate treatment: AUA/GURS/SUFU guideline (2024). J Urol. 2024;212(4):531-8. https://doi.org/10.1097/JU.0000000000004088

7. Gerlegiz ENA, Akbayrak T, Gürşen C, Yazici MS, Bolat NM, Akdoğan B, et al. Lifestyle recommendations and pelvic floor muscle training with Knack maneuver for post-prostatectomy urinary incontinence: a randomized controlled trial. Support Care Cancer. 2025;33(2):132. https://doi.org/10.1007/s00520-025-09197-z

8. Peters MDJ, Godfrey C, McInerney P, Khalil H, Parker D, Soares CB, et al. Scoping reviews. In: Aromataris E, Munn Z, editors. JBI Manual for Evidence Synthesis. Adelaide: JBI; 2024. https://doi.org/10.46658/JBIMES-24-01

9. Tricco AC, Lillie E, Zarin W, O’Brien KK, Colquhoun H, Levac D, et al. PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation. Ann Intern Med. 2018;169(7):467-73. https://doi.org/10.7326/M18-0850

10. Hosseini MS, Jahanshahlou F, Akbarzadeh MA, Zarei M, Vaez-Gharamaleki Y. Formulating research questions for evidence-based studies. J Med Surg Public Health. 2024;2:100046. https://doi.org/10.1016/j.glmedi.2023.100046

11. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ 2021;372:n71. https://doi.org/10.1136/bmj.n71

12. Gezginci E, Goktas S, Ata A. Effect of perioperative pelvic floor muscle training program on incontinence and quality of life after radical prostatectomy: a randomized controlled trial. Clin Rehabil. 2023;37(4):534-44. https://doi.org/10.1177/02692155221134477

13. Veshnavei HA. Urinary incontinency after radical prostatectomy and effects of 1 month pre-operative biofeedback training. Am J Clin Exp Urol. 2021;9(6):489-96. PMID: 34993268.

14. Strojek K, Weber-Rajek M, Styczyńska H, Piekorz Z, Pilarska B, Jarzemski P, et al. Randomized-controlled trial examining the effect of pelvic floor muscle training in the treatment of stress urinary incontinence in men after a laparoscopic radical prostatectomy: pilot study. J Clin Med. 2021;10(13):2946. https://doi.org/10.3390/jcm10132946

15. Jalalinia SF, Raei M, Naseri-Salahshour V, Varaei S. The effect of pelvic floor muscle strengthening exercise on urinary incontinence and quality of life in patients after prostatectomy: a randomized clinical trial. J Caring Sci. 2020;9(1):33-8. https://doi.org/10.34172/jcs.2020.006

16. Milios JE, Ackland TR, Green DJ. Pelvic floor muscle training and erectile dysfunction in radical prostatectomy: a randomized controlled trial investigating a non-invasive addition to penile rehabilitation. Sex Med. 2020;8(3):414-21. https://doi.org/10.1016/j.esxm.2020.03.005

17. Lira GHS, Fornari A, Cardoso LF, Aranchipe M, Kretiska C, Rhoden EL. Effects of perioperative pelvic floor muscle training on early recovery of urinary continence and erectile function in men undergoing radical prostatectomy: a randomized clinical trial. Int Braz J Urol. 2019;45(6):1196-203. https://doi.org/10.1590/S1677-5538.IBJU.2019.0238

18. Pan LH, Lin MH, Pang ST, Wang J, Shih WM. Improvement of urinary incontinence, life impact, and depression and anxiety with modified pelvic floor muscle training after radical prostatectomy. Am J Mens Health. 2019;13(3):1557988319851618. https://doi.org/10.1177/1557988319851618

19. Sayilan AA, Özbaş A. The effect of pelvic floor muscle training on incontinence problems after radical prostatectomy. Am J Mens Health. 2018;12(4):1007-15. https://doi.org/10.1177/1557988318757242

20. Serdà BCF, Marcos-Gragera R. Urinary incontinence and prostate cancer: a progressive rehabilitation program design. Rehabil Nurs. 2014;39(6):271-80. https://doi.org/10.1002/rnj.110

21. Hou CP, Chen TY, Chang CC, Lin YH, Chang PL, Chen CL, et al. Use of the SF-36 quality of life scale to assess the effect of pelvic floor muscle exercise on aging males who received transurethral prostate surgery. Clin Interv Aging. 2013;8:667-73. https://doi.org/10.2147/CIA.S44321

22. Geraerts I, Van Poppel H, Devoogdt N, Joniau S, Van Cleynenbreugel B, De Groef A, et al. Influence of preoperative and postoperative pelvic floor muscle training compared with postoperative training alone on urinary incontinence after radical prostatectomy: a randomized controlled trial. Eur Urol. 2013;64(5):766-72. https://doi.org/10.1016/j.eururo.2013.01.013

23. Nilssen SR, Mørkved S, Overgård M, Lydersen S, Angelsen A. Does physiotherapist-guided pelvic floor muscle training increase the quality of life in patients after radical prostatectomy? A randomized clinical study. Scand J Urol Nephrol. 2012;46(6):397-404. https://doi.org/10.3109/00365599.2012.694117

24. Robinson JP, Bradway CW, Nuamah I, Pickett M, McCorkle R. Systematic pelvic floor training for lower urinary tract symptoms post-prostatectomy: a randomized clinical trial. Int J Urol Nurs. 2008;2(1):3-13. https://doi.org/10.1111/j.1749-771X.2007.00033.x

25. Strączyńska A, Weber-Rajek M, Strojek K, Piekorz Z, Styczyńska H, Goch A, et al. The impact of pelvic floor muscle training on urinary incontinence in men after radical prostatectomy (RP): a systematic review. Clin Interv Aging. 2019;14:1997-2005. https://doi.org/10.2147/CIA.S228222

26. Xin L, Li M, Pan M. The therapeutic effect of pelvic floor muscle training on stress urinary incontinence following prostatectomy: a systematic review and meta-analysis. Transl Androl Urol. 2023;12(7):1155-66. https://doi.org/10.21037/tau-23-337

27. Rapp DE, Hutchison D, Jones MK, DeNovio A, Greene KL. Novel online comprehensive pelvic floor therapy program following prostatectomy. Transl Androl Urol. 2023;12(12):1775-84. https://doi.org/10.21037/tau-23-436

28. Matsunaga A, Yoshida M, Shinoda Y, Sato Y, Kamei J, Niimi A, et al. Effectiveness of ultrasound-guided pelvic floor muscle training in improving prolonged urinary incontinence after robot-assisted radical prostatectomy. Drug Discov Ther. 2022;16(1):37-42. https://doi.org/10.5582/ddt.2022.01004

Publicado

28/10/2026

Número

Sección

Review article

Cómo citar

1.
Entrenamiento del suelo pélvico y calidad de vida después de la prostatectomía: una revisión de alcance. ESTIMA [Internet]. 28 de octubre de 2026 [citado 29 de octubre de 2026];24. Disponible en: https://www.revistaestima.com.br/estima/article/view/1833

Artículos más leídos del mismo autor/a