Actively Recruiting
The Effects of Hypopressive Exercises on Urinary Incontinence and Erectile Dysfunction After Radical Prostatectomy: A Randomized Controlled Trial
Led by Bartın Unıversity · Updated on 2025-08-03
30
Participants Needed
1
Research Sites
N/A
Total Duration
On this page
AI-Summary
What this Trial Is About
Researchers are evaluating how adding hypopressive exercises to standard pelvic floor muscle training affects urinary incontinence and erectile dysfunction in men after radical prostatectomy. This randomized controlled trial aims to see if these special breathing and postural exercises, which activate pelvic floor and abdominal muscles without raising abdominal pressure, improve pelvic floor muscle strength, urinary symptoms, and sexual function better than pelvic floor exercises alone. Participants will be randomly assigned to one of two groups. One group will perform daily home-based pelvic floor muscle exercises for 8 weeks. The other group will do the same pelvic floor exercises plus attend supervised hypopressive exercise sessions twice a week for 8 weeks. These supervised sessions involve guided postural and breathing techniques led by a physiotherapist and are personalized based on each participant's performance. During the study, researchers will assess changes from baseline to 8 weeks in urinary incontinence severity using a 1-hour pad test and bladder diaries, pelvic floor muscle strength and endurance, erectile function, and quality of life through questionnaires. Weekly contact will monitor exercise adherence. The total participation includes pre- and post-intervention assessments to measure physical performance and patient-reported outcomes.
CONDITIONS
Brief Title
Effects of Hypopressive Exercises on Urinary Incontinence and Erectile Dysfunction After Radical Prostatectomy
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Male individuals diagnosed with prostate cancer who have undergone radical prostatectomy
- Experiencing both urinary incontinence and erectile dysfunction
- Age over 55 years
- A score of 24 or higher on the Mini-Mental State Examination (MMSE)
- Literate (able to read and write)
- Willingness to participate in the study (signed informed consent)
- Ability to voluntarily contract pelvic floor muscles
- Ability to cooperate with the assessments and interventions used in the study
You will not qualify if you...
- History of urinary incontinence before surgery
- Congenital abnormalities of the urinary system
- Presence of neurological disorders
- History of transurethral resection of the prostate (TURP)
- Diagnosis of chronic obstructive pulmonary disease (COPD) and/or chronic restrictive pulmonary disease
- History of inguinal hernia
- Previous or current history of radiation therapy
- Surgical or postoperative complications that prevent early physiotherapy intervention (e.g., urinary tract infection, bladder neck stenosis)
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 screening and enrollment visit
Duration - 8 weeks
Participants perform home-based pelvic floor muscle exercises daily for 8 weeks. The experimental group also attends supervised hypopressive exercise sessions twice weekly during this period.
Twice-weekly supervised sessions plus daily home exercises for the experimental group; daily home exercises only for the control group
Trial Site Locations
Total: 1 location
1
University of Health Sciences, Gülhane Training and Research Hospital
Ankara, Ankara, Turkey (Türkiye), 06010
Actively Recruiting
Research Team
B
Betül Erbay, M.Sc.
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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