尿失禁是机器人辅助前列腺切除术（RALP）后最常见的长期副作用之一，严重影响患者的生活质量。盆底肌肉训练（PFMT）一直是泌尿科医生提高术后尿潴留结果的标准方法之一。近年来，有研究表明有氧运动和抗阻运动可以改善RALP后的功能结果。我们进行了一项系统综述，旨在确定运动对RALP后尿失禁的影响，包括PFMT、有氧运动和抗阻运动。本系统综述按照系统综述和 Meta 分析的优先报告项目（PRISMA）指南进行，数据库搜索于2022年1月14日和2022年8月10日进行，以考虑任何新的出版物。共检索到1675篇论文。其中，有1007篇论文为重复文献，因此共筛选了668篇研究。在这668篇论文中，有9篇满足所有纳入标准。其中4项研究报告了RALP患者的数据，并纳入最终的综述研究。 Sayilan等人和Milios等人的研究显示，术后PFMT和体力活动能显著改善1个月、6个月以及术后2周、6周和12周的尿潴留结果。Heydenreich等人将PFMT与振荡杆疗法相结合，发现与单独进行PFMT和放松技术相比，后者显著改善了术后尿潴留和与健康相关的生活质量。相反，Goode等人研究了运动信息的传递，并证明了聚焦远程健康PFMT计划与一般前列腺癌教育之间在尿潴留结果上没有差异。 盆底肌肉训练，无论是否结合其他辅助疗法，都能改善RALP后的尿潴留结果。监督训练计划可能有或无法加速这一发现。目前没有最新文献支持或否定有氧运动或抗阻运动对RALP后前列腺切除术后尿失禁的减少有益。AJCEU 版权所有©2023年。

Urinary incontinence is one of the most common long term side effects after robotic prostatectomy (RALP), and significantly impacts patient quality of life. Pelvic floor muscle training (PFMT) has been a standard part of the urologist's armamentarium for maximizing continence outcomes post-op. Recently, aerobic and resistance exercises have been described as improving functional outcomes post RALP. We performed a systematic review to determine the influence of exercise, in the form of PFMT, aerobic exercise, and resistance training, on incontinence post-RALP.This systematic review was performed according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, with database searches performed on January 14, 2022 and again on August 10, 2022 to account for any new publications. The search identified 1675 papers. Of the 1675 papers, 1007 were found to be duplicates, leaving 668 total studies for screening. Of the 668 papers, nine met all inclusion criteria. Of the nine, four studies presented data from patients who had undergone RALP and were included in the final descriptive systematic review.Sayilan et al. and Milios et al. showed postoperative PFMT and physical activity resulted in significantly improved continence outcomes at 1 and 6 months and 2, 6, and 12 weeks postoperatively, respectively. Heydenreich et al. combined PFMT with an oscillating rod therapy, which was found to significantly improve both postoperative urinary continence and health related quality of life compared to PFMT and relaxation techniques alone. On the contrary, Goode et al. examined delivery of exercise information and demonstrated no difference in continence outcomes between focused telehealth PFMT program and generic prostate cancer education.Pelvic floor muscle training, with or without adjunct therapies, results in improved continence outcomes post RALP. Supervised training programs may or may not accelerate this finding. There is no recent literature to support or refute the benefit of aerobic exercise or resistance training on reducing post-prostatectomy incontinence after RALP.AJCEU Copyright © 2023.