RecruitingNot ApplicableNCT07101731

Effects of Hypopressive Exercises on Urinary Incontinence and Erectile Dysfunction After Radical Prostatectomy

The Effects of Hypopressive Exercises on Urinary Incontinence and Erectile Dysfunction After Radical Prostatectomy: A Randomized Controlled Trial


Sponsor

Bartın Unıversity

Enrollment

30 participants

Start Date

Jun 1, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

This randomized controlled trial investigates the effects of hypopressive exercises on urinary incontinence and erectile dysfunction in men following radical prostatectomy. Participants will be randomly assigned to one of two groups: a control group receiving home-based pelvic floor muscle exercises and an experimental group receiving both pelvic floor muscle exercises and supervised hypopressive exercises twice per week. The study aims to determine whether the addition of hypopressive techniques, which target coordinated activation of the pelvic floor and abdominal muscles without increasing intra-abdominal pressure, offers greater improvements in urinary and sexual function. Primary outcomes include pelvic floor muscle strength and endurance, while secondary outcomes include urinary incontinence severity, erectile function, and quality of life.


Eligibility

Sex: MALEMin Age: 55 Years

Plain Language Summary

Simplified for easier understanding

This study is examining whether a type of breathing-based core exercise called hypopressive exercise can help men recover from urinary leakage and sexual dysfunction after prostate removal surgery. **You may be eligible if...** - You are a male over 55 who had your prostate removed due to prostate cancer - You currently experience both urinary leakage and difficulty getting erections - You are mentally alert and able to participate in assessments - You can voluntarily contract your pelvic floor muscles **You may NOT be eligible if...** - You had urinary problems before the surgery - You have neurological disorders, congenital urinary abnormalities, or a previous TURP procedure - You have chronic obstructive pulmonary disease (COPD) or other breathing conditions that would interfere with the exercises Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

BEHAVIORALPelvic Floor Muscle Training (PFMT)

Participants in the control group will receive an individualized home-based pelvic floor muscle exercise program. Exercises will be performed once daily for 8 weeks, focusing on voluntary pelvic floor contractions in various positions (supine, sitting, standing). Participants will receive initial training and written instructions from a physiotherapist, and will be contacted weekly to monitor adherence.

BEHAVIORALHypopressive Exercises

Participants in the experimental group will attend supervised hypopressive exercise sessions twice per week for 8 weeks. These sessions involve specific postural sequences combined with breathing and apnea techniques aimed at reducing intra-abdominal pressure while activating pelvic floor and abdominal muscles. Sessions will be led by a physiotherapist and adapted based on individual performance and posture tolerance.


Locations(1)

University of Health Sciences, Gülhane Training and Research Hospital

Ankara, Ankara, Turkey (Türkiye)

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NCT07101731


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