Pelvic Floor Training Before Prostate Surgery

Physical therapists and physical therapist assistants who work with men before or after prostate cancer surgery, and clinicians in outpatient orthopedic, oncology rehabilitation or pelvic health settings who field questions about presurgical training.

Physical therapists and physical therapist assistants in outpatient, oncology rehabilitation, hospital-based and pelvic health practice settings.

Intended audience

Physical Therapy

Level

Introductory

Delivery format

Online, asynchronous, self-paced course: interactive reading with audio or video, and a scored post-test.

Based on

This course reports the content of a single published systematic review of pelvic floor muscle strengthening carried out before radical prostatectomy. The review searched PubMed, Scopus, Cochrane and Enfispo for English-language clinical trials published from 2019 through September 2024, screened 199 records, and included five clinical trials with a combined total of 642 participants. Methodological quality was appraised with the CASPe questionnaire for clinical trials, and the review was registered with PROSPERO.

Systematic review of pelvic floor muscle prehabilitation in men undergoing radical prostatectomy for prostate cancer. Databases searched: PubMed, Scopus, Cochrane, Enfispo. Search completed 25 September 2024. Five trials included, 642 participants. PROSPERO registration CRD42024619694.

Scope note

Every statement in this course traces to that review. Where the review reports uncertainty, disagreement between trials or missing information, this course reports the same. Nothing here is a practice directive from The ConEd Solution.

After completing this course, you will be able to:

1. Describe the population, intervention and outcomes examined in a systematic review of pelvic floor muscle prehabilitation before radical prostatectomy.
2. State what the included trials found regarding urinary continence, quality of life, erectile function and early postoperative physical activity, and how consistent those findings were.
3. Explain the limitations the review's authors identified, including protocol variability, short follow-up and the absence of a standardized clinical protocol.

1. Start Here: course overview, objectives and how to earn credit
2. Podcast: Prehabilitation Before Prostatectomy — What Five Trials Showed (about nine minutes)
3. Prostate Cancer Surgery and the Continence Problem Prehabilitation Targets
4. How the Review Searched, Screened and Appraised the Trials
5. What the Five Trials Reported on Continence, Quality of Life and Activity
6. Protocol Variability, Short Follow-Up and Other Limits on Confidence
7. What the Review's Authors Say This Means for Practice and Research
8. Key Takeaways
9. Post-test and course evaluation

Quinn Millington, PT, DPT, ECS is the instructor of record: the licensed clinician who reviewed this course and signed off on it. The name and credentials print on the certificate.

Disclosures. This course was developed by The ConEd Solution, which has a financial interest in its sale. No outside funding or sponsorship was received. The instructor of record has no affiliation with the authors of the source publication or their institutions.

This course awards 0.5 contact hours (30 min). How you earn them:

1. Complete the course. Every lesson, in order.
2. Pass the post-test. Score 80% or higher. Retakes are allowed.
3. Complete the evaluation. A short form rating each learning objective and the course.
4. Download your certificate. It is issued on completion and stays available in My Account.

The episode time is its measured length. Reading, post-test and evaluation times are estimates.

This course is designed to satisfy the quality requirements state boards set for continuing education. Requirements vary by state, and confirming that a course fits your renewal is up to you. Each state’s own acceptance statement is in the credit panel on this page.

1. This course reports the content of a single published systematic review of pelvic floor muscle strengthening carried out before radical prostatectomy. The review searched PubMed, Scopus, Cochrane and Enfispo for English-language clinical trials published from 2019 through September 2024, screened 199 records, and included five clinical trials with a combined total of 642 participants. Methodological quality was appraised with the CASPe questionnaire for clinical trials, and the review was registered with PROSPERO.
2. Systematic review of pelvic floor muscle prehabilitation in men undergoing radical prostatectomy for prostate cancer. Databases searched: PubMed, Scopus, Cochrane, Enfispo. Search completed 25 September 2024. Five trials included, 642 participants. PROSPERO registration CRD42024619694.
3. Scope note
4. Every statement in this course traces to that review. Where the review reports uncertainty, disagreement between trials or missing information, this course reports the same. Nothing here is a practice directive from The ConEd Solution.