perineal-exercise-treatment-erectile-dysfunction

Excerpt from study on Erectile Dysfunction and Pelvic Floor Exercises.

Different treatment options are available:
psychosexual counseling,
medication,
use of external vacuum devices,
intracavernous injection therapy,
vascular surgery, and use of a
penile prosthesis.

These exercises are known by different names

PELVIC FLOOR
PERINEAL MUSCLE
PUBOCOCCYGEUS MUSCLE
KEGEL'S EXERCISE

RESULTS
In this study, 47% of the patients regained normal erectile function, and 24% had an improved erection after a pelvic-floor re-education program in combination with EMG biofeedback and electrical stimulation. Six out of 51 patients requested another modality of therapy after cessation of the physical therapist intervention.

The results of study are in the line with the findings of

Mamberti-Dias and Bonierbale-Branchereau and Claes and colleagues.
The results of Schouman and Lacroix for patients with erectile dysfunction were less favorable, but their sample size was small.
Colpi et al reported that only 36% of the patients in their study recovered or improved following pelvic-floor muscle exercises for venogenic impotence.


BENEFITS OF PELVIC FLOOR EXERCISES
Physical therapy interventions provide noninvasive methods that are easy to perform, painless, and inexpensive. Studies have shown positive results after a pelvic-floor re-education program for men with erectile dysfunction. However, different programs were used, and some studies had a small sample size. Data from subjects who did not complete the studies were not included in the analyses, and predictive factors were not investigated. The aims of our study were to test an outpatient pelvic-floor re-education program in men with erection problems and to identify factors that could predict therapeutic outcome.

A Controlled Study to Evaluate the Impact of a Psychosexual Assessment on Treatment Adherence and Satisfaction in Men with Erectile Dysfunction