The Effects of Hypopressive Exercises on Urinary Incontinence and Erectile Dysfunction After Radical Prostatectomy: A Randomized Controlled Trial
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.
• Male individuals diagnosed with prostate cancer who have undergone radical prostatectomy
• Experiencing both urinary incontinence and erectile dysfunction
• Age \> 55 years
• A score of 24 or higher on the Mini-Mental State Examination (MMSE)
• Literate (able to read and write)
• Willingness to participate in the study (signed informed consent)
• Ability to voluntarily contract pelvic floor muscles
• Ability to cooperate with the assessments and interventions used in the study