PELVIC FLOOR EXERCISES FOR RECTAL CANCER RECURRENCE: A COMPREHENSIVE EVALUATION OF FUNCTIONAL OUTCOMES
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Keywords
Rectal Cancer Recurrence, Pelvic Floor Exercises, Systematic Review, Meta-Analysis, Pelvic Floor Function, Quality of Life, Bowel Function, Pelvic Pain, Adverse Events, Postoperative Care, Educational Programs
Abstract
Background: Recurrence of rectal cancer post-surgery poses significant challenges for patients, often accompanied by compromised pelvic floor function and diminished quality of life. Pelvic floor exercises (PFE) have emerged as a potential intervention to address these issues.
Methods: A systematic review and meta-analysis were conducted to evaluate the efficacy of PFE in rectal cancer patients experiencing recurrence following Surgery. Studies published between 2019 and 2024 meeting specific criteria (RCTs or cohort studies, interventions focusing on PFE, patient population comprising recurrent rectal cancer post-surgery) were included. Data collection and analysis were performed independently by two reviewers, assessing outcomes such as pelvic muscle function, continence status, quality of life measures, and adverse events. Meta-analyses were conducted using the random-effects model where applicable.
Results: The literature search yielded 120 relevant studies. Some studies reported positive outcomes in indicators of weak pelvic floor function, including strength, endurance, and coordination. Patients undergoing PFE interventions exhibited improvements in bowel function, decreased pelvic pain, and enhanced quality of life. Few moderate to severe adverse events related to PFE were documented, with minor events being more common. Nevertheless, further research is needed to optimize exercise regimens, durations, and timing for this patient group. Integration of educational programs into standard postoperative care pathways is beneficial.
Conclusion: PFE shows promise in improving functional indicators, bowel function, and quality of life in rectal cancer patients experiencing recurrence post-surgery. Additional research is warranted to refine PFE protocols and maximize their benefits in this population. Educational interventions as part of postoperative care pathways play a pivotal role in optimizing outcomes.
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Dr. Fidha Hussain
Oncology ST1/2, Department of Oncology, Northampton General Hospital, United Kingdom
Dr. Akhila Nair
Junior Clinical Fellow, Department of General Medicine, Northampton General Hospital, United Kingdom
Sangay Chultim Sherpa
House Officer, Department of Internal Medicine, Dhaka University, Nepal
Maryam Abdalla Ahmed Babiker
Medical Graduate, School of Medicine, Ahfad University for Women, UAE
Ahmed M S Alqedra
Medical Graduate, School of Health Sciences, University of Georgia, UAE
Ahmad Sulaiman Alhamad
Medical Graduate, Faculty of Medicine, Ivan Javakhishvili Tbilisi State University (TSU), UAE
Wahab Moustafa
Mr, Spine Surgery and Neurotrauma Unit, SRH Waldklinikum Gera, Germany.