Evaluation of improvement of patients with erection dysfunction managed with biofeedback pelvic floor training

Abstract

Introduction Erection dysfunction (ED) is an important health problem that affects millions of men throughout the world. Biofeedback (BF) pelvic floor training is reeducation therapy to teach patients with erectile dysfunction how to strengthen their PFMs which play a role in erection through the enhancement of blood flow to the penis.Aim of the Work The aim of this study was to assess improvement of BF pelvic floor training in the management of patients with erectile dysfunction (ED).Material & Methods Thirty men presenting with ED were evaluated with Erectile function domain of International Index of Erectile Function (IIEF), Erectile Dysfunction-Effect on Quality of Life (ED-EQoL) and Maximum squeezing pressure of pelvic floor muscles (PFMS) according to manometric BF before and after receiving BF pelvic floor training.Results The patients who received BF showed significant subjective improvement in their Erectile functions according to (IIEF)and (ED-EQoL) questionnaires and significant objective improvement in the form of mean of maximum squeezing pressure of PFM susing BF (McNemar test, McN = 0.031, p = 0.001*).Conclusion Biofeedback pelvic floor training is highly effective easily applicable tool of management in the patients with ED with good outcomes on patient’s complaints and quality of life through their effect on improving strength of their PFMs.

Keywords

• Biofeedback
• pelvic floor rehabilitation
• erectile dysfunction