Pelvic Floor Exercise versus Surgery in the Treatment of Impotence

Claes, H.; Baert, Luc

doi:10.1111/j.1464-410x.1993.tb15880.x

Cited by 53 publications

(28 citation statements)

References 18 publications

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“…21,22 Few studies have evaluated the effects of pelvic-floor exercises in the EF. 23,24,30,31 Although they suggest an improvement of EF with pelvic-floor exercises, they are methodologically inadequate. Patients included in those studies had various causes of ED and underwent different intervention methods.…”

Section: 15--1729mentioning

confidence: 99%

Early postoperative pelvic-floor biofeedback improves erectile function in men undergoing radical prostatectomy: a prospective, randomized, controlled trial

et al. 2012

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Erectile dysfunction (ED) and urinary incontinence are common complications following radical prostatectomy (RP). Although pelvic-floor biofeedback training (PFBT) may improve urinary continence following RP, its effects on the recovery of potency are unknown. Fifty-two patients selected for RP were prospectively randomized for a treatment group (n ¼ 26) receiving PFBT once a week for 3 months and home exercises or a control group (n ¼ 26), in which patients received verbal instructions to contract the pelvic floor. Erectile function (EF) was evaluated with the International Index of Erectile Function-5 (IIEF-5) before surgery and 1, 3, 6 and 12 months postoperatively. Patients were considered potent when they had a total IIEF-5 score 420. Continence status was assessed and defined as the use of no pads. Groups were comparable in terms of age, body mass index, diabetes, pathological tumor stage and neurovascular bundle preservation. A significant reduction in IIEF-5 scores was observed after surgery in both groups. In the treatment group, 8 (47.1%) patients recovered potency 12 months postoperatively, as opposed to 2 (12.5%) in the control group (P ¼ 0.032). The absolute risk reduction was 34.6% (95% confidence interval (CI): 3.8--64%) and the number needed to treat was 3 (95% CI: 1.5--17.2). A strong association between recovery of potency and urinary continence was observed, with continent patients having a 5.4 higher chance of being potent (P ¼ 0.04). Early PFBT appears to have a significant impact on the recovery of EF after RP. Urinary continence status was a good indicator of EF recovery, with continent patients having a higher chance of being potent. 1 The most common long-term complications after prostatectomy (RP) are urinary incontinence and erectile dysfunction (ED).2 ED is estimated to affect 26--100% of patients after surgery. 3,4 The main cause of ED after RP is neurogenic, because of intraoperative injury to the neurovascular bundle.

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Section: 15--1729mentioning

confidence: 99%

Early postoperative pelvic-floor biofeedback improves erectile function in men undergoing radical prostatectomy: a prospective, randomized, controlled trial

et al. 2012

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“…As illustrated in figure 1, an increase of intracavernous pressure and an inhibition of venous leakage by voluntary pelvic floor contraction could be documented by cavernosometry and cavernosography. Since Baert and co-workers [10, 11, 12]showed that in the long-term follow-up pelvic floor exercise led to better results compared to venous surgery, especially in moderate and medium grade venous leakage, a strengthening of the ischiocavernous muscles seems to be a reasonable approach to treat veno-occlusive dysfunction. Regular pelvic floor exercise can be achieved by a physiotherapist which seems to be a time-consuming and expensive procedure, or an advantageous transcutaneous electrical stimulation which is the standard therapy for the treatment of posttraumatic atrophy of the striated muscular system [13].…”

Section: Introductionmentioning

confidence: 99%

Treatment of Erectile Dysfunction by an External Ischiocavernous Muscle Stimulator

Derouet

Nolden²,

Jost³

et al. 1998

European Urology

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“…However, the fact that physiotherapeutic measures alone, in cases of venal leakage, lead to the same results just like surgery of the leakage itself [3], allows for an assumption of an independent character of renal leakage.…”

Section: Discussionmentioning

confidence: 99%

Coincidence of Induratio penis plastica and Erectile Dysfunction

Wunderlich

Werner²,

Schubert³

1998

Urol Int

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There are still diverse management options in Peyronie’s disease and diverse opinions about the coincidence of Peyronie’s disease and erectile dysfunction (ED) as well. The connection between Peyronie’s disease and ED has been proved by some articles, but on the other hand authors have refused this fact. We found ED in about 30% of our patients suffering from Peyronie’s disease. We have investigated 61 patients with Peyronie’s disease. A diagnostic pattern for evaluation of angulation and ED are proposed. The tunica albuginea plication technique was used in 35 patients with good results. In our investigation we cannot find any coincidence of Peyronie’s disease with ED.

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Pelvic Floor Exercise versus Surgery in the Treatment of Impotence

Cited by 53 publications

References 18 publications

Early postoperative pelvic-floor biofeedback improves erectile function in men undergoing radical prostatectomy: a prospective, randomized, controlled trial

Early postoperative pelvic-floor biofeedback improves erectile function in men undergoing radical prostatectomy: a prospective, randomized, controlled trial

Treatment of Erectile Dysfunction by an External Ischiocavernous Muscle Stimulator

Coincidence of Induratio penis plastica and Erectile Dysfunction

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