RecruitingNot ApplicableNCT07293156

Impact of Pilates Exercises on Diabetic Erectile Dysfunction.

Sponsor

Benha University

Enrollment

60 participants

Start Date

Dec 15, 2025

Study Type

INTERVENTIONAL

Conditions

Pilates Exercise Diabete Mellitus Erectile Dysfunction Associated With Type 2 Diabetes Mellitus Pelvic Floor Muscle Exercise

Summary

Erectile dysfunction (ED) has a prevalence of 52.5% in diabetic male patients, as described in a meta-analysis of 145 studies, including 88,577 men with type 1 and type 2 diabetes. In men, ED can cause sexual dissatisfaction and distress, unsatisfactory relationships, and marital tension

Eligibility

Sex: MALEMin Age: 40 YearsMax Age: 60 Years

Plain Language Summary

Simplified for easier understanding

This study tests whether a Pilates exercise program can improve erectile dysfunction in men with type 2 diabetes, where nerve damage and blood flow problems from diabetes are common contributing factors. **You may be eligible if...** - You are a man between 40 and 60 years old - You have had type 2 diabetes for at least 1 year - You have been diagnosed with erectile dysfunction for at least 6 months (confirmed by a standard questionnaire) - Your diabetes medications have been stable for at least 3 months - Your HbA1c is between 6.5% and 10.0% - You are willing and physically able to participate in an exercise program **You may NOT be eligible if...** - You have had a serious heart event (heart attack, unstable chest pain, severe heart failure) in the past 6 months - You have major nerve or muscle disorders that prevent exercise - You are taking PDE5 inhibitors (like Viagra or Cialis) for erectile dysfunction 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

OTHERPilate Exercises

Pilates protocol that will be used in the present study consisted of 11 different Pilates postures: Pilates Breathing, Spine Stretch, Swan, Shoulder Bridge, Hundreds, Double Leg Stretch, Footwork, Roll up, Single Leg Stretch, Leg Pull Back, Kick front and back. It will be performed thrice a week, with each session lasting 60 minutes, for 12 weeks, totaling 36 sessions. The progression of the exercises will be based on increasing the number of repetitions of the exercise, and variations in posture from beginner to intermediate and advanced, for each exercise. The movements will be repeated six to eight times each.

OTHERHome based pelvic floor muscle training

Participants will attend an educational session conducted by a physiotherapist on pelvic floor anatomy, the physiology of erection, and the roles of the ischiocavernosus and bulbocavernosus muscles in erectile function. They will be instructed on proper pelvic floor muscle contraction by simulating the interruption of urine flow and performing maximal voluntary contractions. A home-based PFMT program will be prescribed. Exercises will initially be performed in the supine position with knees flexed and subsequently progressed to sitting or standing positions as tolerated. Participants will be instructed to perform PFMT twice daily (morning and evening), consisting of 15 short contractions (1 second each) and 15 sustained contractions (6-10 seconds each). Adherence will be monitored through a mobile messaging application, where participants will report completion of daily exercises and receive reminders when necessary.

DRUGSildenafil therapy

Participants will receive sildenafil citrate 25 mg orally once daily and sildenafil citrate 50 mg orally on demand, taken approximately 1 hour before sexual intercourse, throughout the study period.