{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T04:24:08Z","timestamp":1787545448569,"version":"build-2736575974"},"reference-count":52,"publisher":"Public Library of Science (PLoS)","issue":"9","license":[{"start":{"date-parts":[[2023,9,28]],"date-time":"2023-09-28T00:00:00Z","timestamp":1695859200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Purpose<\/jats:title>\n<jats:p>To investigate the role of pelvic floor devices (e.g., biofeedback, electrical stimulation, magnetic stimulation, or their combination) as adjunctive treatments in pelvic floor muscle training (PFMT) in stress urinary incontinence (SUI) after radical prostatectomy.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Materials and methods<\/jats:title>\n<jats:p>A systematic review with meta-analysis. We searched for randomised controlled trials (RCTs) and prospective non-randomised studies investigating the effectiveness of pelvic floor devices as an adjunctive treatment for SUI symptoms assessed with weight pad-test or standardised questionnaires. To assess the risk of bias (RoB) and overall certainty of evidence, the RoB 2.0 or the ROBINS-I, and the GRADE approach were used.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Results<\/jats:title>\n<jats:p>Eleven RCTs met our eligibility criteria. One was at a \u2018low\u2019 RoB, one had \u2018some concerns\u2019, while nine were at a \u2018high\u2019 RoB. Two meta-analyses were conducted to analyse the pooled results of six RCTs included. Specifically, two RCTs reported at week 4 with a 1h pad test a mean difference of 0.64 (95% CI = [-13.09, 14.36]), and four RCTs reported at week 12 with a 24h pad test a mean difference of -47.75 (95% CI = [-104.18, 8.69]). The heterogeneity was high in both analyses (I<jats:sup>2<\/jats:sup> = 80.0%; I<jats:sup>2<\/jats:sup> = 80.6%). The overall level of certainty was very low.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Conclusions<\/jats:title>\n<jats:p>In line with our results, we cannot conclude whether pelvic floor devices add any value as adjunctive treatment in the management of SUI after radical prostatectomy. Future studies require more comprehensive and standardised approaches to understand whether these devices are effective.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0289636","type":"journal-article","created":{"date-parts":[[2023,9,28]],"date-time":"2023-09-28T17:42:09Z","timestamp":1695922929000},"page":"e0289636","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":10,"title":["The added value of devices to pelvic floor muscle training in radical post-prostatectomy stress urinary incontinence: A systematic review with metanalysis"],"prefix":"10.1371","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0079-0714","authenticated-orcid":true,"given":"Giardulli","family":"Benedetto","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7471-1951","authenticated-orcid":true,"given":"Battista","family":"Simone","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leuzzi","family":"Gaia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Job","family":"Mirko","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Buccarella","family":"Ottavia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8643-7200","authenticated-orcid":true,"given":"Testa","family":"Marco","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2023,9,28]]},"reference":[{"issue":"6","key":"pone.0289636.ref001","doi-asserted-by":"crossref","first-page":"936","DOI":"10.1016\/j.eururo.2016.09.031","article-title":"Pathophysiology and Contributing Factors in Postprostatectomy Incontinence: A Review","volume":"71","author":"J Heesakkers","year":"2017","journal-title":"Eur Urol [Internet]"},{"issue":"1","key":"pone.0289636.ref002","doi-asserted-by":"crossref","first-page":"1","DOI":"10.5152\/tud.2014.222014","article-title":"Post-prostatectomy incontinence: Etiology, evaluation, and management","volume":"40","author":"N Singla","year":"2014","journal-title":"Turk J Urol"},{"issue":"3","key":"pone.0289636.ref003","doi-asserted-by":"crossref","first-page":"405","DOI":"10.1016\/j.eururo.2012.05.045","article-title":"Systematic Review and Meta-analysis of Studies Reporting Urinary Continence Recovery After Robot-assisted Radical Prostatectomy","volume":"62","author":"V Ficarra","year":"2012","journal-title":"Eur Urol"},{"issue":"1","key":"pone.0289636.ref004","doi-asserted-by":"crossref","first-page":"398","DOI":"10.1002\/nau.23845","article-title":"Surgical treatment of post-prostatectomy stress urinary incontinence in adult men: Report from the 6th International Consultation on Incontinence","volume":"38","author":"MA Averbeck","year":"2019","journal-title":"Neurourol Urodyn [Internet]"},{"issue":"4","key":"pone.0289636.ref005","first-page":"1","article-title":"The Impact of Urinary Incontinence on Quality of Life: A Cross-Sectional Study in the Metropolitan City of Naples","volume":"5","author":"B Corrado","year":"2020","journal-title":"Geriatrics (Basel) [Internet]"},{"key":"pone.0289636.ref006","doi-asserted-by":"crossref","unstructured":"Bernardes MFVG, Chagas S de C, Izidoro LC de R, Veloso DFM, Chianca TCM, da Mata LRFP. 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