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Stress urinary incontinence (SUI) is a common complication in men following surgical treatment of prostate cancer and benign prostatic hyperplasia (BPH). Pelvic floor muscle training (PFMT) is a recognised conservative approach in the treatment of SUI and recommended by international guidelines including the European Association of Urology (EAU), suggesting its application before considering surgical management. PFMT, first described in 1936, aims to improve pelvic floor muscle strength and endurance and thereby increases urethral pressures to prevent urinary incontinence. Despite its established role in female urinary incontinence, PFMT’s efficacy in men remains uncertain. Evidence from clinical studies suggests that PFMT, alone or in combination with biofeedback, may improve continence recovery in men. More high-quality research is needed to validate long-term benefits and standardise protocols. Given its cost-effectiveness and minimal risks, PFMT should be a key component in managing male SUI.

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Pelvic Floor Exercises in the Management of Male Stress Urinary Incontinence

  • 章节

  • 发表日期：

    2026年

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  • Shenthiuiyan Theivendrampillai,
  • Jenni Churches,
  • Mohit Bajaj,
  • Bob Yang

摘要

Stress urinary incontinence (SUI) is a common complication in men following surgical treatment of prostate cancer and benign prostatic hyperplasia (BPH). Pelvic floor muscle training (PFMT) is a recognised conservative approach in the treatment of SUI and recommended by international guidelines including the European Association of Urology (EAU), suggesting its application before considering surgical management. PFMT, first described in 1936, aims to improve pelvic floor muscle strength and endurance and thereby increases urethral pressures to prevent urinary incontinence. Despite its established role in female urinary incontinence, PFMT’s efficacy in men remains uncertain. Evidence from clinical studies suggests that PFMT, alone or in combination with biofeedback, may improve continence recovery in men. More high-quality research is needed to validate long-term benefits and standardise protocols. Given its cost-effectiveness and minimal risks, PFMT should be a key component in managing male SUI.