Study on Hypopressive and Pelvic Floor Exercises for Urinary Incontinence and Erectile Dysfunction in Men After Prostate Surgery

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 participants 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.

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