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. 2015 Aug 20;69(10):1184–1208. doi: 10.1111/ijcp.12693

Table 3.

Study and patient characteristics selected from the literature analysis

First author LUTS No. of patients Study design Level of evidence Intervention Start of treatment (after RP/RT) Active treatment mean follow‐up
Conservative management
Pelvic floor muscle training (PFMT)
Campbell et al. 72 UI 1937 Systematic review 2A Conservative management: PFMT Varied (post‐surgery) Varied
Centemero et al. 73 UI 118 RCT 1B Pre and post‐op PFMT vs. Post‐op PFMT 30 d before surgery vs. at catheter removal 3 mo
Centemero et al. 74 UI 143 RCT 1B Structured PFMT pre‐op vs. post‐op PFMT 30 and 15 d pre‐op 3 mo
Dieperink et al. 75 Urinary, bowel, sexual, and hormonal symptoms 161 RCT 1B TG guided sessions vs. standard care Pre and 4 wk post RT/ADT 20 wk
Dubbelman et al. 76 UI 70 RCT 1B Physiotherapist‐guided PFMT vs. information only folder Immediately after surgery 26 wk = 6 mo
Faithfull et al. 77 LUTS 71 Case series 4 Self‐management:
  • PFMT

  • Bladder retraining

  • Patient education

  • Problem solving and coping strategies

≥ 3 mo post RT 4 mo
Filocamo et al. 78 UI 300 RCT 1B Structured PFMT program vs. no formal instructions re PFMT After catheter removal post‐RP 6 mo
Geraerts et al. 79 UI 180 RCT 1B PFMT pre‐op and continued after surgery vs. PFMT post‐op 3 wk before RP vs. at catheter removal 6 mo
Glazener et al. 80 UI 787 (2 trials; 411 after RP and 442 after TURP) RCT 1B PFMT with physiotherapist vs. lifestyle advise only (no PFMT info) 6 wk after surgery 12 mo
Goode et al. 81 UI 208 RCT 1B Behavioural therapy vs. behavioural therapy + in‐office, dual‐channel electromyograph biofeedback and daily pelvic floor electrical stimulation vs. delayed treatment* ≥ 1 yr after RP 12 mo
Khoder et al. 17 UI 911 Retrospective cohort analysis 4
  • PFMT

  • Anal electrical stimulation (AES)

  • Lifestyle adjustment, Combination

Varied (post‐RP) Varied
Lin et al. 76 UI 67 RCT 1B PFMT vs. no exercise At catheter removal after surgery 6 mo
Marchiori 18 UI 332 RCT 1B Tutored and guided pelvic training program vs. no program (patients asked to perform same PFMT at home) 1 mo after RP 12 mo
Mariotti et al. 19 UI 60 RCT 1B PFES + biofeedback vs. control (no treatment) 7 d after surgery 6 mo
Nilssen et al. 83 (based on Overgard subjects) Urinary, sexual and bowel function 85 RCT 1B Physiotherapist‐guided PFMT vs. self‐training Within 12 mo of RP 12 mo
Overgard et al. 16 UI 85 RCT 1B Physiotherapist‐guided PFMT vs. self‐training Within 12 mo of RP 12 mo
Park et al. 31 UI 49 RCT 1B Combined exercise intervention vs. only Kegel exercises Week 3 after RP 12 wk
Patel et al. 84 UI 284 Retrospective cohort analysis 4 Preop Physiotherapist‐guided PFMT vs. information only
Post‐op – both groups had Physiotherapist‐guided PFMT
4 wk pre‐op vs. after surgery 3 mo
Ribeiro et al. 85 UI 73 RCT 1B PFMT‐biofeedback vs. brief advise on PFMT 15 d after surgery 12 mo
Serdà 86 UI 66 RCT 1B PFMT Time n/a (after RP) 24 wk
Tienforti et al. 87 UI 32 RCT 1B Training session + BFB, supervised PFMT and structured post‐op programme (+post op control visit) vs. post op info only 1 d before surgery vs. At catheter removal 6 mo
Van Kampen et al. 88 UI 102 RCT 1B PFMT vs. placebo At catheter removal 1 yr
Wille et al. 89 UI 139 RCT 1B Instructions about PFMT vs. instructions and ES for 15 min twice daily vs. biofeedback for 15 min twice daily At catheter removal post RP 3 mo
Zahariou et al. 90 UI 58 RCT 1B Nurse‐supported structured program vs. information only At catheter removal after RP 6 mo
Oral medication
Serotonin‐norepinephrine reuptake inhibitor (Duloxetine)
Cornu et al. 91 Stress UI (SUI) 31 RCT 1B 80 mg duloxetine daily vs. placebo >1 yr after RP 3 mo
Filocamo et al. 92 SUI 112 RCT 1B Duloxetine + rehabilitation vs. rehabilitation After catheter removal (post RP) for 16 wk 24 wk
Neff et al. 93 Stress UI 94 Case series 4 Duloxetine 30 mg once a week, then 60 mg thereafter Not specified (Post‐RP) 1 mo
Alpha blockers
Jang et al. 94 Voiding function 94 RCT 1B Tamsulosin (0.2 mg/day for 7 days) vs. placebo 3 days after rectal surgery 7 days
Oyama et al. 95 LUTS 116 Case series 4 Alpha 1‐adrenoceptor antagonists (tamsulosin, silodosin and naftopidil) ≥ 1 yr after BT
Shimizu et al. 96 LUTS 105 Randomised comparative study 2A Silodosin 8 mg/day daily for 6 mo Immediately after BT 12 mo
Tsumura et al. 97 Urinary symptoms 212 RCT 1B Naftopidil vs. tamsulosin vs. vs. silodosin 1 d after BT 12 mo
Antimuscarinics
Zhang et al. 98 Urinary symptoms 116 RCT 1B Solifenacin 5 mg for 2 wk vs. placebo 6 h pre‐surgery and daily post‐surgery 2 wk
Phosphodiesterase type 5 inhibitor (PDE5‐I)
Gacci et al. 99 UI 39 RCT 1B Vardenafil on demand vs. Vardenafil nightly vs. Placebo Immediately after RP 12 mo
Gandaglia et al. 20 Recovery of sphincter and pelvic floor function 705 Review 4 No PDE5‐I use vs. On‐demand PDE5‐I use vs. Daily PDE5‐I use 30 d after surgery Mean follow up 29 mo
Other treatments
Bonetta and Di Pierro 100 UTIs 370 Randomised comparative study IIA Cranberry extract vs. no extract During RT 6–7 wk
Campbell et al. 101 Urinary symptoms 112 Comparative study IIA Cranberry juice vs. apple juice 354 ml/day While receiving RT 9 wk (incl 7 wk on RT)
Cowan et al. 102 Urinary symptoms 128 RCT 1B Cranberry juice vs. placebo beverage During and post‐RT 6 wk
Matsushita et al. 103 Urinary symptoms 54 Comparative study IIA Mecobalamin (Vit B12) vs. no treatment Pre‐ and post‐RP 12 mo
Sommariva et al. 104 Cystitis 69 Case series 4 Weekly sodium hyaluronate, 40 mg/50 ml + dexamethasone 32 mg (initial 4 wk) Post RP and post chemo for bladder cancer 24 wk
Tanaka et al. 105 LUTS 37 Comparative study IIA Eviprostat vs. no treatment 3 mo pre and 3 mo post BT 6 mo
Containment devices
Fader et al. 106 UI 80 Comparative study IIA Penile compression devices (clamp) vs. Sheath drainage systems vs. Body‐worn urinals ≥ 1 yr post‐surgery 3 mo

PFMT, Pelvic floor muscle training; BT, Brachytherapy; RT, Radiotherapy; UTI, Urinary tract infection; TG, Therapist guided; mo, month; wk, week; d, day. *Offered treatment after 8 wk but not during study period. Electrical stimulation.