Efektivitas Latihan Pelvic Floor Muscle Training (PFMT) terhadap Inkontinensia Urin pada Pasien Prostatectomy
Abstract
This study aims to determine the effectiveness of Pelvic Floor Muscle Training (PFMT) exercise on urinary incontinence in patients undergoing or after prostatectomy surgery. The method used is a systematic review of articles from the Pubmed, Proquest, ScienceDirect, SAGE and Scopus databases. The results showed that PFMT exercise or other combination therapies could strengthen the pelvic muscles and train the pelvic nerves in patients with urinary incontinence, improve quality of life, and reduce levels of depression and anxiety. In conclusion, PFMT exercise can be applied to treat patients by preventing or reducing the intensity of urinary incontinence in patients with prostatectomy.
Keywords: Urinary Incontinence, Pelvic Floor Muscle Training, Prostatectomy
References
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Bach, P. V., Salter, C. A., Katz, D., Schofield, E., Nelson, C. J., & Mulhall, J. P. (2019). Arousal Incontinence in Men Following Radical Prostatectomy: Prevalence, Impact and Predictors. Journal of Sexual Medicine, 16(12), 1947–1952. https://doi.org/10.1016/j.jsxm.2019.09.015
Hagen, S., Elders, A., Stratton, S., Sergenson, N., Bugge, C., Dean, S., Hay-Smith, J., Kilonzo, M., Dimitrova, M., Abdel-Fattah, M., Agur, W., Booth, J., Glazener, C., Guerrero, K., McDonald, A., Norrie, J., Williams, L. R., & McClurg, D. (2020). Effectiveness of Pelvic Floor Muscle Training with and without Electromyographic Biofeedback for Urinary Incontinence in Women: Multicentre Randomised Controlled Trial. The BMJ, 371, 1–11. https://doi.org/10.1136/bmj.m3719
Heydenreich, M., Puta, C., Gabriel, H. H. W., Dietze, A., Wright, P., & Zermann, D. H. (2020). Does Trunk Muscle Training with an Oscillating Rod Improve Urinary Incontinence after Radical Prostatectomy? A Prospective Randomized Controlled Trial. Clinical Rehabilitation, 34(3), 320–333. https://doi.org/10.1177/0269215519893096
Jaffar, A., Sidik, S. M., Foo, C. N., Muhammad, N. A., Manaf, R. A., & Suhaili, N. (2022). Preliminary Effectiveness of mHealth App-Based Pelvic Floor Muscle Training among Pregnant Women to Improve Their Exercise Adherence: A Pilot Randomised Control Trial. International Journal of Environmental Research and Public Health, 19(4), 1-14. https://doi.org/10.3390/ijerph19042332
Jalalinia, S. F., Raei, M., Naseri-Salahshour, V., & Varaei, S. (2020). The Effect of Pelvic Floor Muscle Strengthening Exercise on Urinary Incontinence and Quality of Life in Patients after Prostatectomy: A Randomized Clinical Trial. Journal of Caring Sciences, 9(1), 33–38. https://doi.org/10.34172/jcs.2020.006
Luginbuehl, H., Lehmann, C., Koenig, I., Kuhn, A., Buergin, R., & Radlinger, L. (2022). Involuntary Reflexive Pelvic Floor Muscle Training in Addition to Standard Training Versus Standard Training Alone for Women with Stress Urinary Incontinence: A Randomized Controlled Trial. International Urogynecology Journal, 33(3), 531–540. https://doi.org/10.1007/s00192-021-04701-5
Milios, J. E., Ackland, T. R., & Green, D. J. (2019). Pelvic Floor Muscle Training in Radical Prostatectomy: A Randomized Controlled Trial of the Impacts On Pelvic Floor Muscle Function and Urinary Incontinence. BMC Urology, 19(1), 1–10. https://doi.org/10.1186/s12894-019-0546-5
Pan, L. H., Lin, M. H., Pang, S. T., Wang, J., & Shih, W. M. (2019). Improvement of Urinary Incontinence, Life Impact, and Depression and Anxiety with Modified Pelvic Floor Muscle Training after Radical Prostatectomy. American Journal of Men’s Health, 1-10. https://doi.org/10.1177/1557988319851618
Piernicka, M., Błudnicka, M., Bojar, D., Kortas, J., & Szumilewicz, A. (2022). Improving the Technique of Pelvic Floor Muscle Contraction in Active Nulliparous Women Attending a Structured High–Low Impact Aerobics Program—A Randomized Control Trial. International Journal of Environmental Research and Public Health, 19(10). 1-12. https://doi.org/10.3390/ijerph19105911
Rygh, P., Asklund, I., & Samuelsson, E. (2021). Real-World Effectiveness of App-Based Treatment for Urinary Incontinence: A Cohort Study. BMJ Open, 11(1), 1–8. https://doi.org/10.1136/bmjopen-2020-040819
Sheng, Y., Carpenter, J. S., Ashton-Miller, J. A., & Miller, J. M. (2022). Mechanisms of Pelvic Floor Muscle Training for Managing Urinary Incontinence in Women: A Scoping Review. BMC Women’s Health, 22(1), 1-16. https://doi.org/10.1186/s12905-022-01742-w
Strojek, K., Weber-Rajek, M., Strączyńska, A., Piekorz, Z., Pilarska, B., Jarzemski, P., Kozakiewicz, M., Brzoszczyk, B., Jarzemski, M., Styczyńska, H., Goch, A., & Radzimińska, A. (2021). 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. Journal of Clinical Medicine, 10(13), 1–10. https://doi.org/10.3390/jcm10132946
Susanto, J., Lestari, T. P., Mardhika, A., & Makhfudli, M. (2021). Latihan Kegel untuk Menurunkan Inkontinesia Urine Pasien Post-Trans Urethral Resection of the Prostate (TURP). Jurnal Kesehatan Vokasional, 6(4), 233-240. https://doi.org/10.22146/jkesvo.66336
Szczygielska, D., Knapik, A., Pop, T., Rottermund, J., & Saulicz, E. (2022). The Effectiveness of Pelvic Floor Muscle Training in Men after Radical Prostatectomy Measured with the Insert Test. International Journal of Environmental Research and Public Health, 19(5), 1-9. https://doi.org/10.3390/ijerph19052890
Zachovajeviene, B., Siupsinskas, L., Zachovajevas, P., Venclovas, Z., & Milonas, D. (2019). Effect of Diaphragm and Abdominal Muscle Training on Pelvic Floor Strength and Endurance: Results of a Prospective Randomized Trial. Scientific Reports, 9, 1–9. https://doi.org/10.1038/s41598-019-55724-4
Bach, P. V., Salter, C. A., Katz, D., Schofield, E., Nelson, C. J., & Mulhall, J. P. (2019). Arousal Incontinence in Men Following Radical Prostatectomy: Prevalence, Impact and Predictors. Journal of Sexual Medicine, 16(12), 1947–1952. https://doi.org/10.1016/j.jsxm.2019.09.015
Hagen, S., Elders, A., Stratton, S., Sergenson, N., Bugge, C., Dean, S., Hay-Smith, J., Kilonzo, M., Dimitrova, M., Abdel-Fattah, M., Agur, W., Booth, J., Glazener, C., Guerrero, K., McDonald, A., Norrie, J., Williams, L. R., & McClurg, D. (2020). Effectiveness of Pelvic Floor Muscle Training with and without Electromyographic Biofeedback for Urinary Incontinence in Women: Multicentre Randomised Controlled Trial. The BMJ, 371, 1–11. https://doi.org/10.1136/bmj.m3719
Heydenreich, M., Puta, C., Gabriel, H. H. W., Dietze, A., Wright, P., & Zermann, D. H. (2020). Does Trunk Muscle Training with an Oscillating Rod Improve Urinary Incontinence after Radical Prostatectomy? A Prospective Randomized Controlled Trial. Clinical Rehabilitation, 34(3), 320–333. https://doi.org/10.1177/0269215519893096
Jaffar, A., Sidik, S. M., Foo, C. N., Muhammad, N. A., Manaf, R. A., & Suhaili, N. (2022). Preliminary Effectiveness of mHealth App-Based Pelvic Floor Muscle Training among Pregnant Women to Improve Their Exercise Adherence: A Pilot Randomised Control Trial. International Journal of Environmental Research and Public Health, 19(4), 1-14. https://doi.org/10.3390/ijerph19042332
Jalalinia, S. F., Raei, M., Naseri-Salahshour, V., & Varaei, S. (2020). The Effect of Pelvic Floor Muscle Strengthening Exercise on Urinary Incontinence and Quality of Life in Patients after Prostatectomy: A Randomized Clinical Trial. Journal of Caring Sciences, 9(1), 33–38. https://doi.org/10.34172/jcs.2020.006
Luginbuehl, H., Lehmann, C., Koenig, I., Kuhn, A., Buergin, R., & Radlinger, L. (2022). Involuntary Reflexive Pelvic Floor Muscle Training in Addition to Standard Training Versus Standard Training Alone for Women with Stress Urinary Incontinence: A Randomized Controlled Trial. International Urogynecology Journal, 33(3), 531–540. https://doi.org/10.1007/s00192-021-04701-5
Milios, J. E., Ackland, T. R., & Green, D. J. (2019). Pelvic Floor Muscle Training in Radical Prostatectomy: A Randomized Controlled Trial of the Impacts On Pelvic Floor Muscle Function and Urinary Incontinence. BMC Urology, 19(1), 1–10. https://doi.org/10.1186/s12894-019-0546-5
Pan, L. H., Lin, M. H., Pang, S. T., Wang, J., & Shih, W. M. (2019). Improvement of Urinary Incontinence, Life Impact, and Depression and Anxiety with Modified Pelvic Floor Muscle Training after Radical Prostatectomy. American Journal of Men’s Health, 1-10. https://doi.org/10.1177/1557988319851618
Piernicka, M., Błudnicka, M., Bojar, D., Kortas, J., & Szumilewicz, A. (2022). Improving the Technique of Pelvic Floor Muscle Contraction in Active Nulliparous Women Attending a Structured High–Low Impact Aerobics Program—A Randomized Control Trial. International Journal of Environmental Research and Public Health, 19(10). 1-12. https://doi.org/10.3390/ijerph19105911
Rygh, P., Asklund, I., & Samuelsson, E. (2021). Real-World Effectiveness of App-Based Treatment for Urinary Incontinence: A Cohort Study. BMJ Open, 11(1), 1–8. https://doi.org/10.1136/bmjopen-2020-040819
Sheng, Y., Carpenter, J. S., Ashton-Miller, J. A., & Miller, J. M. (2022). Mechanisms of Pelvic Floor Muscle Training for Managing Urinary Incontinence in Women: A Scoping Review. BMC Women’s Health, 22(1), 1-16. https://doi.org/10.1186/s12905-022-01742-w
Strojek, K., Weber-Rajek, M., Strączyńska, A., Piekorz, Z., Pilarska, B., Jarzemski, P., Kozakiewicz, M., Brzoszczyk, B., Jarzemski, M., Styczyńska, H., Goch, A., & Radzimińska, A. (2021). 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. Journal of Clinical Medicine, 10(13), 1–10. https://doi.org/10.3390/jcm10132946
Susanto, J., Lestari, T. P., Mardhika, A., & Makhfudli, M. (2021). Latihan Kegel untuk Menurunkan Inkontinesia Urine Pasien Post-Trans Urethral Resection of the Prostate (TURP). Jurnal Kesehatan Vokasional, 6(4), 233-240. https://doi.org/10.22146/jkesvo.66336
Szczygielska, D., Knapik, A., Pop, T., Rottermund, J., & Saulicz, E. (2022). The Effectiveness of Pelvic Floor Muscle Training in Men after Radical Prostatectomy Measured with the Insert Test. International Journal of Environmental Research and Public Health, 19(5), 1-9. https://doi.org/10.3390/ijerph19052890
Zachovajeviene, B., Siupsinskas, L., Zachovajevas, P., Venclovas, Z., & Milonas, D. (2019). Effect of Diaphragm and Abdominal Muscle Training on Pelvic Floor Strength and Endurance: Results of a Prospective Randomized Trial. Scientific Reports, 9, 1–9. https://doi.org/10.1038/s41598-019-55724-4
