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

Sponsor
Bartın Unıversity
Study ID
NCT07101731
Status
Recruiting
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Conditions

  • Erectile Dysfunction Following Radical Prostatectomy
  • Pelvic Floor Muscle Training
  • Prostate Cancer (Post Prostatectomy)
  • Urinary Incontinence

Eligibility Criteria

Sex
MALE
Age
55 Years - N/A
Healthy Volunteers
Not accepted

Interventions

  • Pelvic Floor Muscle Training (PFMT) — BEHAVIORAL
    Participants in the control group will receive an individualized home-based pelvic floor muscle exercise program. Exercises will be performed once daily for 8 weeks, focusing on voluntary pelvic floor contractions in various positions (supine, sitting, standing). Participants will receive initial training and written instructions from a physiotherapist, and will be contacted weekly to monitor adherence.
  • Hypopressive Exercises — BEHAVIORAL
    Participants in the experimental group will attend supervised hypopressive exercise sessions twice per week for 8 weeks. These sessions involve specific postural sequences combined with breathing and apnea techniques aimed at reducing intra-abdominal pressure while activating pelvic floor and abdominal muscles. Sessions will be led by a physiotherapist and adapted based on individual performance and posture tolerance.

Study Details

This randomized controlled trial investigates the effects of hypopressive exercises on urinary incontinence and erectile dysfunction in men following radical prostatectomy. Participants will be randomly assigned to one of two groups: a control group receiving home-based pelvic floor muscle exercises and an experimental group receiving both pelvic floor muscle exercises and supervised hypopressive exercises twice per week. The study aims to determine whether the addition of hypopressive techniques, which target coordinated activation of the pelvic floor and abdominal muscles without increasing intra-abdominal pressure, offers greater improvements in urinary and sexual function. Primary outcomes include pelvic floor muscle strength and endurance, while secondary outcomes include urinary incontinence severity, erectile function, and quality of life.

Key Dates

First listed
Aug 3, 2025
Start date
Jun 1, 2024
Status verified
Jul 2025
Primary completion
Nov 15, 2025
Completion
Nov 15, 2025

Study Design

Enrollment
30 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT

Arms

  • Experimental: Pelvic Floor Home Exercise + Supervised Hypopressive Exercise Group
    Participants will perform daily home-based pelvic floor muscle exercises and also attend supervised hypopressive exercise sessions twice a week for 8 weeks.
  • Active Comparator: Pelvic Floor Home Exercise Only Group
    Participants will be instructed to perform home-based pelvic floor muscle exercises daily for 8 weeks. No supervised exercise sessions will be provided.

Primary Outcome Measure

Change in urinary incontinence severity measured by 1-hour Pad Test [ Time Frame: Baseline and 8 weeks ]

Central Contacts

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