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Change of urinary incontinence and erectile dysfunction with Kegel exercises in older patients post-TURP
Susanto J, Makhfudli, Yusuf A, Lestari TP, Iswatun, Mardhika A, Ilkafah, Umam K, Tyas APM
NeuroQuantology 2022;20(11):7187-7196
clinical trial
3/10 [Eligibility criteria: Yes; Random allocation: No; Concealed allocation: No; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

INTRODUCTION: Urinary incontinence and erectile dysfunction are common complications following TURP. Older patients Post-TURP often complain of experiencing urinary incontinence and decreased erectile function. This study aims to analyze the effectiveness of kegel exercises on urinary incontinence and erectile dysfunction in older patients post-TURP. METHODS: The research is quasi-experiment. The number of samples was 64 patients after TURP (32 interventions and 32 controls), using a systematic random sampling technique. The data collection technique used the ICIQ-UI-SF questionnaire for urinary incontinence and the IIEF-5 questionnaire for erectile dysfunction. Data analysis used Paired t-test, Independent t-test, and Manova test with a significance level of alpha <0.05. RESULTS: Kegel exercise decreased urinary incontinence (p = 0.000), kegel exercise increased erectile function (p = 0.001), and kegel exercise reduced urinary incontinence (44%) and increased erectile function (21%).The concluding study kegel exercise effectively reduces urinary incontinence and improves erectile function in older patients post-TURP. DiscussionS: Kegel exercises can use as a companion therapy or non-pharmacological alternative therapy to treat urinary incontinence and erectile dysfunction in post-TURP patients.

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