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. 2015 Jan 20;2015(1):CD001843. doi: 10.1002/14651858.CD001843.pub5

Filocamo 2005.

Methods Randomised: yes
 Method of allocation: block randomisation, block size of 4 for 2 groups (A and B) with only one permutation code (ABBA)
Blinding: not described
 Dropouts: at 12 months, 2 participants dropped out of the control group
 Intention to treat: yes
Participants Recruitment: post‐operative
Included: all men undergoing RRP
N = 300 consecutive men post RRP, randomised after catheter removal to 2 groups
 Intervention group: N = 150
 Control group: N = 150
Interventions Post‐operative intervention
Group A (150) intervention: formal instruction (3 treatment sessions plus at home exercises) in PFMT using verbal explanation, palpation and visualization of the base of the penis with a mirror, in different positions and prior to sneezing, coughing or lifting
Group B (150) control: no formal instruction
Length of follow‐up: 12 months
Outcomes Main outcome: urine loss on 1 hour and 24 hour pad tests plus number of pads used daily
Continence definition: 0 to 1 pads per day
Data collection: 1, 3, 6, and 12 months
Wet (leakage or use of pads)
1 month: A 145/150, B 147/150
3 months: A 115/150, B 129/150
6 months: A 35/150, B 102/150
12 months: A 16/150, B 49/148
Surgical implantation of artificial urinary sphincter: A 2/150, B 3/148
Notes 74% of the intervention group achieved continence at 3 months compared to only 30% of the control (a significant difference favouring intervention)
Differences between the groups declined between 6 to 12 months, with most participants achieving continence in 1 year
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Block randomisation, block size of 4 for 2 groups (A and B) with only one permutation code (ABBA)
Allocation concealment (selection bias) Unclear risk Not stated. Therefore judged to be unclear risk
Blinding of participants (performance bias) High risk Blinding to intervention not possible
Blinding of personnel (performance bias) High risk Blinding to intervention not possible
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk No description of blinding of pad test or data entry from questionnaires
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk 2 dropped out of control group but none from intervention
Selective reporting (reporting bias) Unclear risk Protocol not available
Financial support Unclear risk Not reported. Therefore judged to be unclear risk
Approved by medical ethics committee Low risk "Approved by the Ethics Committee of our Institution"
Informed consent Low risk "All patients signed an informed consent form"
ITT analysis Unclear risk Not specified