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Conservative treatment of urinary incontinence in men: a review of the literature
Moore KN, Dorey GF
Physiotherapy 1999 Feb;85(2):77-87
systematic review

The aim of this article is to give an overview of the conservative treatment of urinary incontinence in men. Eight articles and seven abstracts addressing the effect of pelvic floor muscle exercises, biofeedback, electrical stimulation, behavioural strategies and advice were compiled by computerised and hand searches. Studies of women and those not in English were excluded. Only three randomised studies were found; the remaining were all pre-test post-test designs. It is concluded that pelvic floor muscle exercises with biofeedback appear promising as strategies of treatment of urinary incontinence in men but that further research is required to determine which men are most likely to benefit from therapy. Currently, there is no strong evidence to support electrical stimulation as a routine treatment for post-prostatectomy incontinence. Evaluation of the current research on treatment of incontinence in men is hampered by the paucity of literature in the field. The paper concludes with several questions for further research.

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