{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T10:26:10Z","timestamp":1792491970502,"version":"4.5.0"},"reference-count":48,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T00:00:00Z","timestamp":1760659200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T00:00:00Z","timestamp":1760659200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Urinary incontinence is a common complication after radical prostatectomy. Several meta\u2010analyses have evaluated the effectiveness of pelvic floor muscle training (PFMT) for continence recovery, but their findings are inconsistent, and not all include all relevant studies. This meta\u2010analysis aims to address these gaps.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The study aims to summarize evidence on the effectiveness of preoperative PFMT, with or without biofeedback, on continence recovery post\u2010prostatectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>A systematic review and meta\u2010analysis were conducted following PRISMA guidelines. The PICO framework was used: Patients undergoing radical prostatectomy, Intervention: preoperative PFMT, Comparison: any postoperative intervention or monitoring, Outcome: continence recovery. Studies were sourced from PubMed, CINAHL, Scopus, Web of Science, and PEdro. Quality was assessed using the PEdro scale, and statistical analysis was performed using a random effect model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Six studies were included. Preoperative PFMT did not significantly improve continence recovery 1 month post\u2010surgery (odds\u2010ratio 2.01, 95% CI [0.94\u20134.31],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.37). However, a significant improvement was observed 3 months post\u2010surgery (odds\u2010ratio 1.52, 95% CI [1.05\u20132.20],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.03). No significant differences were found at 6 months (odds\u2010ratio 1.28, 95% CI [0.85\u20131.94],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.95) and twelve months (odds\u2010ratio 0.73, 95% CI [0.43\u20131.23],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.32).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Preoperative PFMT may improve continence recovery 3 months post\u2010surgery but not at one, six, or twelve months. The study highlights the need for standardized assessment criteria and further research on robotic\u2010assisted prostatectomy. The innovative aspect of this study lies in its conservative inclusion criteria and focus on preoperative PFMT's potential benefits.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Trial Registration<\/jats:title>\n                    <jats:p>Not applicable. This study did not require clinical trial registration because it is a systematic review and meta\u2010analysis of previously published studies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/nau.70167","type":"journal-article","created":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T10:48:56Z","timestamp":1760698136000},"page":"127-136","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Preoperative Pelvic Muscle Training for Continence Recovery After Prostatectomy: Yet Another Meta\u2010Analysis?"],"prefix":"10.1002","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0716-5663","authenticated-orcid":false,"given":"Stefano","family":"Terzoni","sequence":"first","affiliation":[{"name":"Department of Biomedical Sciences for Health Universit\u00e0 degli Studi di Milano Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serena","family":"Maruccia","sequence":"additional","affiliation":[{"name":"Ospedale S. Antonio Abate Cant\u00f9 CO Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Di Prisco","sequence":"additional","affiliation":[{"name":"San Paolo bachelor school of Nursing ASST Santi Paolo e Carlo Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4164-2790","authenticated-orcid":false,"given":"Mauro","family":"Parozzi","sequence":"additional","affiliation":[{"name":"Dept. Of Medicine and Surgery Universit\u00e0 degli Studi di Parma Parma Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7736-6209","authenticated-orcid":false,"given":"Rosario","family":"Caruso","sequence":"additional","affiliation":[{"name":"Department of Biomedical Sciences for Health Universit\u00e0 degli Studi di Milano Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3545-2675","authenticated-orcid":false,"given":"Paolo","family":"Ferrara","sequence":"additional","affiliation":[{"name":"San Paolo bachelor school of Nursing ASST Santi Paolo e Carlo Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2756-9929","authenticated-orcid":false,"given":"Silvia","family":"Cilluffo","sequence":"additional","affiliation":[{"name":"Department of Biomedical Sciences for Health Universit\u00e0 degli Studi di Milano Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-0413-4467","authenticated-orcid":false,"given":"Giorgia","family":"Barbuiani","sequence":"additional","affiliation":[{"name":"Department of Biomedical Sciences for Health Universit\u00e0 degli Studi di Milano Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristian","family":"Ricci","sequence":"additional","affiliation":[{"name":"Africa Unit for Transdisciplinary Health Research (AUTHeR) North West University Potchefstroom  South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8518-1036","authenticated-orcid":false,"given":"Serena","family":"Togni","sequence":"additional","affiliation":[{"name":"Istituto Nazionale dei Tumori Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9135-0035","authenticated-orcid":false,"given":"Bernardo","family":"Rocco","sequence":"additional","affiliation":[{"name":"Universit\u00e0 Cattolica del Sacro Cuore Roma Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giorgia","family":"Gaia","sequence":"additional","affiliation":[{"name":"Policlinico P. Agostino Gemelli Roma Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7211-0485","authenticated-orcid":false,"given":"Maria Chiara","family":"Sighinolfi","sequence":"additional","affiliation":[{"name":"Dept. Of Urology Policlinico P. Agostino Gemelli Roma Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristina","family":"Mora","sequence":"additional","affiliation":[{"name":"Clinica Polispecialistica San Carlo Paderno Dugnano Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5389-9879","authenticated-orcid":false,"given":"Maura","family":"Lusignani","sequence":"additional","affiliation":[{"name":"Department of Biomedical Sciences for Health Universit\u00e0 degli Studi di Milano Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,10,17]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2017.12.031"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/XEB.0000000000000192"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.25432"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1743-6109.2009.01238.x"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/07399330903324254"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/ijun.12299"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(00)00687-7"},{"issue":"4","key":"e_1_2_11_9_1","first-page":"380","article-title":"The Effect of Preoperative Pelvic Floor Muscle Training on Incontinence Problems After Radical Prostatectomy: A Meta\u2010Analysis","volume":"18","author":"Rangganata E.","year":"2021","journal-title":"Urology journal"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.4103\/aja.aja_89_18"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2023.1186067"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/02692155221136046"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2490-14-99"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.21037\/tau-20-684"},{"key":"e_1_2_11_15_1","unstructured":"EAU European Association of Urology Nurses.Guidelines on Non\u2010Neurogenic Male LUTS.2023 https:\/\/uroweb.org\/guidelines\/management-of-non-neurogenic-male-luts."},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-018-0803-8"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13643-021-01626-4"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/ijun.12271"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0004-9514(09)70043-1"},{"key":"e_1_2_11_20_1","unstructured":"Cochrane Collaboration Cochrane Handbook for Systematic Reviews of Interventions [Internet]. [cited2024Feb 15] https:\/\/training.cochrane.org\/handbook\/current."},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/biom.12817"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1080\/00365590601183584"},{"issue":"3","key":"e_1_2_11_23_1","first-page":"92","article-title":"Impact of Preoperative Biofeedback on Incontinence in Cancer Patients Undergoing Radical Prostatectomy","volume":"78","author":"Lilli P.","year":"2006","journal-title":"Arch Ital Urol Androl Organo Uff Soc Ital Ecogr Urol E Nefrol"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12894-019-0546-5"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1590\/S1677-5538.IBJU.2013.02.05"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.3389\/fonc.2018.00020"},{"key":"e_1_2_11_27_1","first-page":"12","article-title":"Effect of Rehabilitation Training at Different Stages on Urinary Incontinence in Patients After Radical Prostatectomy","volume":"6","author":"Chengjie W.","year":"2016","journal-title":"J Front Med"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2010.09159.x"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1002\/rnj.110"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1111\/iju.12099"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1155\/2014\/785263"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2012.10948.x"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.3109\/00365599.2012.694117"},{"key":"e_1_2_11_34_1","first-page":"132","article-title":"Application of Bladder and Levator Ani Muscle Training After Laparoscopic Radical Prostatectomy","volume":"20","author":"Xixi D.","year":"2021","journal-title":"J Anhui Med Coll"},{"key":"e_1_2_11_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)00047-9"},{"key":"e_1_2_11_36_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ju.0000072900.82131.6f"},{"key":"e_1_2_11_37_1","doi-asserted-by":"publisher","DOI":"10.1590\/s1677-5538.ibju.2019.0238"},{"key":"e_1_2_11_38_1","doi-asserted-by":"publisher","DOI":"10.4103\/UROS.UROS_12_22"},{"key":"e_1_2_11_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2010.02.028"},{"key":"e_1_2_11_40_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.22523"},{"key":"e_1_2_11_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2013.01.013"},{"issue":"1","key":"e_1_2_11_42_1","article-title":"Intensive Preoperatory Pelvic Floor Muscle Training Reduce Duration and Severity of Stress Urinary Incontinence After Radical Prostatectomy: A Randomized Controlled Trial","volume":"12","author":"Collado S. A.","year":"2013","journal-title":"Eur Urol Suppl [Internet]"},{"key":"e_1_2_11_43_1","doi-asserted-by":"publisher","DOI":"10.1177\/1557988318757242"},{"key":"e_1_2_11_44_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.23811"},{"issue":"3","key":"e_1_2_11_45_1","first-page":"246","article-title":"Multiple Motor Learning Processes in Humans: Defining Their Neurophysiological Bases","volume":"27","author":"Spampinato D.","year":"2021","journal-title":"Neurosci Rev J Bringing Neurobiol Neurol Psychiatry"},{"key":"e_1_2_11_46_1","doi-asserted-by":"publisher","DOI":"10.1111\/ijun.12056"},{"key":"e_1_2_11_47_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0031-9406(05)61108-X"},{"key":"e_1_2_11_48_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-024-01930-w"},{"key":"e_1_2_11_49_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.acuro.2013.10.009"}],"container-title":["Neurourology and Urodynamics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/nau.70167","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/nau.70167","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/nau.70167","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T19:17:38Z","timestamp":1786043858000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/nau.70167"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,17]]},"references-count":48,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1002\/nau.70167"],"URL":"https:\/\/doi.org\/10.1002\/nau.70167","archive":["Portico"],"relation":{},"ISSN":["0733-2467","1520-6777"],"issn-type":[{"value":"0733-2467","type":"print"},{"value":"1520-6777","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,17]]},"assertion":[{"value":"2025-04-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-06","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-17","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}