Eficácia do treinamento da musculatura do assoalho pélvico (TMAP) como tratamento fisioterapêutico na disfunção sexual após prostatectomia: revisão narrativa

Abstract

Prostate cancer is the second most common cancer among Brazilians, with prostatectomy being the most used procedure as a treatment. Postoperative complications, such as erectile dysfunction, may impact on the quality of life of individuals affected by this pathology. The objective of this study was to review the scientific literature on the effectiveness of pelvic floor muscle training as a physical therapy treatment for sexual dysfunction after prostatectomy. This is a narrative review of the literature, where the following datas were selected for the search of articles: PEDro, PubMed, SciELO and Lilacs. The findings of the studies show positive results in the recovery of erectile function through muscle training, especially when the treatment is started immediately after the removal of the vesical tube, thus corroborating the suggestive effectiveness of the physiotherapeutic actions in this type of treatment. The main physiotherapeutic treatments identified for sexual dysfunction in men after prostatectomy were pelvic floor exercises and their training through biofeedback. More controlled and randomized studies are needed to build new reflections that can make the debate broader and more efficient, offering better options for treatment protocols for patients.