Long-Term Effects of Pelvic Floor Training Using Bio-feedback and Home Exercises in Men with Chronic Pelvic Pain Measuring Symptom Improvement and Pelvic Floor Function

What this Trial Is About

This research aims to understand the long-term effects of pelvic floor re-education using biofeedback and home training in men with chronic pelvic pain. The study focuses on whether this approach can provide lasting symptom improvement measured by a validated symptom score, the National Institute of Health - Chronic Prostatitis Symptom Index NIH-CPSI, and if these symptom changes relate to objective pelvic floor function measurements. The trial compares men undergoing pelvic floor training to a control group maintaining their usual treatment. Participants in the intervention group will perform short daily pelvic floor exercises at home for six months, supplemented by four biofeedback sessions during the initial months. They receive personalized instructions based on an initial pelvic floor assessment and report their exercises in a digital diary. The control group will continue their current treatment unchanged for six months, after which they are offered the same pelvic floor training program. Participants will complete symptom questionnaires and undergo pelvic floor muscle assessments and urodynamic evaluations at baseline, three, six, and twelve months. The study measures changes in symptoms, bladder function, and pelvic floor muscle performance over time. The total participation period includes a six-month intervention phase followed by an additional six-month follow-up, allowing researchers to evaluate both early and sustained effects of the training.

Effects of Pelvic Floor Training in Male Chronic Pelvic Pain, Correlation Between Subjective and Objective Outcomes