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British Journal of General Practice

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Original papers

Randomised controlled trial of pelvic floor muscle exercises and manometric biofeedback for erectile dysfunction

Grace Dorey, Mark Speakman, Roger Feneley, Annette Swinkels, Christopher Dunn and Paul Ewings
British Journal of General Practice 2004; 54 (508): 819-825.
Grace Dorey
Roles: Consultant Physiotherapist
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Mark Speakman
Roles: Consultant Urologist
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Roger Feneley
Roles: Emeritus Consultant Urologist
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Annette Swinkels
Roles: Senior Lecturer, Faculty of Health and Social Studies
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Christopher Dunn
Roles: Professor of Social Pharmacy
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Paul Ewings
Roles: Senior Statistician
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Article Figures & Data

Figures

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  • Figure 1
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    Figure 1

    Algorithm of randomised controlled trial.

  • Figure 2
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    Figure 2

    Mean erectile function domain of International Index of Erectile Function scores for both groups at each assessment.

  • Figure 3
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    Figure 3

    Comparison of pelvic floor muscle exercises in our trial and sildenafil15 at 3 months using the erectile function domain of the International Index of Erectile Function.

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    Figure 4

    Suggested algorithm for treatment of erectile dysfunction.

Tables

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    Table 1

    Description of subjects at baseline.

    Intervention group median (range)Control group median (range)
    Number of subjects randomised2827
    Age in years58 (22–78)61 (41–72)
    Months with erectile dysfunction24 (6–360)54 (6–360)
    Body mass index26 (21–42)29 (22–38)
    Erectile function domain of International Index of Erectile Function score7.5 (1–28)7.0 (1–17)
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    Table 2

    International Index of Erectile Function domain scores in subjects and partners at 3-month follow-up.

    Intervention group mean (SD)Control group (mean SD)Corrected difference(95% CI)aP-valuea
    Sample size for analysis
     Subjects2525--
     Partners1722--
    Erectile function
     Subjects17.2 (9.7)8.4 (7.3)7.0 (2.4 to 11.6)0.004
     Partners17.4 (10.7)10.0 (9.6)6.9 (1.1 to 12.8)0.02
    Intercourse satisfaction
     Subjects7.8 (3.9)4.6 (4.3)2.6 (0.5 to 4.7)0.02
     Partners7.9 (4.3)4.5 (4.5)3.3 (0.7 to 6.0)0.02
    Orgasmic function
     Subjects6.7 (3.3)4.1 (3.7)2.2 (0.4 to 4.1)0.02
     Partners6.6 (3.9)4.1 (3.9)2.3 (-0.09 to 4.6)0.06
    Sexual desire
     Subjects6.2 (2.3)5.9 (2.1)0.4 (-0.5 to 1.4)0.38
     Partners7.1 (2.0)4.7 (2.5)1.7 (0.4 to 3.0)0.01
    Overall satisfaction
     Subjects6.1 (2.3)4.1 (2.5)1.8 (0.5 to 3.0)0.008
     Partners6.9 (5.2)4.2 (2.9)2.0 (-0.5 to 4.4)0.11
    • ↵aDifference is intervention group minus control group, derived from ANCOVA. SD = standard deviation.

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    Table 3

    Manometric and digital anal measures at baseline and 3-month follow-up.a

    OutcomeIntervention group (n = 25)Control group (n = 25)P-valueb
    BaselineFollow-upBaselineFollow-up
    Maximum anal pressure961477575<0.001
    Anal hold pressure851307069<0.001
    Digital anal measurements3533<0.001
    • ↵aAll values are medians

    • ↵bMann–Whitney test comparing change in score between the two groups.

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British Journal of General Practice: 54 (508)
British Journal of General Practice
Vol. 54, Issue 508
November 2004
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Randomised controlled trial of pelvic floor muscle exercises and manometric biofeedback for erectile dysfunction
Grace Dorey, Mark Speakman, Roger Feneley, Annette Swinkels, Christopher Dunn, Paul Ewings
British Journal of General Practice 2004; 54 (508): 819-825.

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Randomised controlled trial of pelvic floor muscle exercises and manometric biofeedback for erectile dysfunction
Grace Dorey, Mark Speakman, Roger Feneley, Annette Swinkels, Christopher Dunn, Paul Ewings
British Journal of General Practice 2004; 54 (508): 819-825.
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Keywords

  • pelvic floor exercises
  • biofeedback
  • erectile dysfunction

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