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IRCT20210809052123N1 IRCT 2022-05-08 Shahid Beheshti University of Medical Sciences The effect of manual therapy on erectile dysfunction Comparison of the effect of pelvic floor myofascial release and Pelvic floor training on treatment of male erectile dysfunction in post adenectomy and radical prostatectomy 2022-05-06 anticipated 80 Complete https://irct.ir/trial/61833 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: Patients were divided into four random groups using a random number constructor. The randomization method is simple and done individually. In order to randomize the statistics, the names of the people are entered in Excel software, then random numbers are assigned to each person using the Rand function. These numbers are then sorted from small to large using software sorting, which disrupts the order of the initial list and randomizes how people are positioned. Then, the first 20 people are considered for the treatment group of adenectomy patients, the second 20 people are considered for the control group of adenectomy surgery, the third 20 people are considered for the treatment group of radical patients and the fourth 20 people are considered for the control group of radical patients. Randomization of patients was done by a statistical consultant and the groups will be determined based on number 1 for the treatment group of adenectomy patients, number 2 for the control group of adenectomy surgery, number 3 for the treatment group of radical patients and number 4 for the control group of radical patients, Blinding description: 1- Participants: In the case group, the application of the manual technique is performed in a real way, while in the control group, only a superficial touch is performed and the therapeutic exercise component is performed in the same way in both. 2- Data Analyzer: The data analyzer will use code to analyze the data in such a way that it is unaware of its content. N/A Erectile dysfunction. Intervention 1: Intervention group: Intervention group 1: Adenectomy surgery patients who will undergo manual therapy and exercise therapy. In these patients, the muscles of the ischiocaverenus and bulbospangius are released by massage. The therapist performs this technique with his index finger. The massage is performed for ten minutes. Patients will be treated for ten sessions, three sessions per week. Exercise therapy in these patients is such that the individual is instructed to selectively contract his ischiocaverenus muscle and hold this contraction for 7 seconds. Then rest for 7 seconds. The person is also taught how to lift the testicles in front of a mirror. he dose this exercise for ten minutes. Intervention 2: Intervention group: Intervention group 2: Radical surgery patients who will undergo manual therapy and exercise therapy. In these patients, the muscles of the ischiocaverenus and bulbospangius are released by massage. The therapist performs this technique with his index finger. The massage is performed for ten minutes. Patients will be treated for ten sessions, three sessions per week. Exercise therapy in these patients is such that the individual is instructed to selectively contract his ischiocaverenus muscle and hold this contraction for 7 seconds. Then rest for 7 seconds. The person is also taught how to lift the testicles in front of a mirror. he dose this exercise for ten minutes. Intervention 3: Control group: Control group1 : Adenectomy surgery patients who will undergo exercise therapy. Patients will be treated for ten sessions, three sessions per week. Exercise therapy in these patients is such that the individual is instructed to selectively contract his ischiocaverenus muscle and hold this contraction for 7 seconds. Then rest for 7 seconds. The person is also taught how to lift the testicles in front of a mirror. he dose this exercise for ten minutes. Intervention 4: Control group: Control group1 : Radical surgery patients who will undergo exercise therapy. Patients will be treated for ten sessions, three sessions per week. Exercise therapy in these patients is such that the individual is instructed to selectively contract his ischiocaverenus muscle and hold this contraction for 7 seconds. Then rest for 7 seconds. The person is also taught how to lift the testicles in front of a mirror. he dose this exercise for ten minutes. Yes - There is a plan to make this available What will be shared: All data is shared after people are not identified and the article is published. When: The access period will start 2 months after the results are published To whom: It will be available to researchers working in academic and scientific institutions Conditions: There is no specific condition Where to obtain: Dr. Mehdi Afshar Safavi Phone number +989105001656 No. 11/1 , Pejman 1 , Ebadi 47, Mashhad, How to obtain: The applicant can submit his application via email. mahdi3068@gmail.com Comments:
public Mahdi Afshar Safavi
no 11/1 . pejman 1 , ebadi 47 , mashhad
Mashhad Iran (Islamic Republic of) 9193798711 +98 51 3225 7030 mahdi3068@gmail.com Shahid Beheshti University of Medical Sciences scientific Mahdi Afshar Safavi
no 11/1 , pejman 1 , ebadi 47 . mashhad
Mashhad Iran (Islamic Republic of) 9193798711 +98 51 3225 7030 mahdi3068@gmail.com Shahid Beheshti University of Medical Sciences Iran (Islamic Republic of) Confirmation of the absence of a secondary erection to prostate surgery by a physician Patients operated by retropubic technique with both adenectomy and radical methods Being married Age range between 45 to 60 years 45 years 60 years Male Taking erectile drugs such as taladafil and sildenafil Mental problems such as depression N52.9 Male erectile dysfunction, unspecified Rehabilitation Rehabilitation Rehabilitation Rehabilitation Intervention group: Intervention group 1: Adenectomy surgery patients who will undergo manual therapy and exercise therapy. In these patients, the muscles of the ischiocaverenus and bulbospangius are released by massage. The therapist performs this technique with his index finger. The massage is performed for ten minutes. Patients will be treated for ten sessions, three sessions per week. Exercise therapy in these patients is such that the individual is instructed to selectively contract his ischiocaverenus muscle and hold this contraction for 7 seconds. Then rest for 7 seconds. The person is also taught how to lift the testicles in front of a mirror. he dose this exercise for ten minutes. Intervention group: Intervention group 2: Radical surgery patients who will undergo manual therapy and exercise therapy. In these patients, the muscles of the ischiocaverenus and bulbospangius are released by massage. The therapist performs this technique with his index finger. The massage is performed for ten minutes. Patients will be treated for ten sessions, three sessions per week. Exercise therapy in these patients is such that the individual is instructed to selectively contract his ischiocaverenus muscle and hold this contraction for 7 seconds. Then rest for 7 seconds. The person is also taught how to lift the testicles in front of a mirror. he dose this exercise for ten minutes. Control group: Control group1 : Adenectomy surgery patients who will undergo exercise therapy. Patients will be treated for ten sessions, three sessions per week. Exercise therapy in these patients is such that the individual is instructed to selectively contract his ischiocaverenus muscle and hold this contraction for 7 seconds. Then rest for 7 seconds. The person is also taught how to lift the testicles in front of a mirror. he dose this exercise for ten minutes. Control group: Control group1 : Radical surgery patients who will undergo exercise therapy. Patients will be treated for ten sessions, three sessions per week. Exercise therapy in these patients is such that the individual is instructed to selectively contract his ischiocaverenus muscle and hold this contraction for 7 seconds. Then rest for 7 seconds. The person is also taught how to lift the testicles in front of a mirror. he dose this exercise for ten minutes. Erection hardness. Timepoint: Outcome will be measured at both the beginning and end of treatment. Method of measurement: Erection hardness score. Erection index. Timepoint: Outcome will be measured at both the beginning and end of treatment. Method of measurement: International index of erectile function Questionnaire. Maximum thickness of Ischiocavernus. Timepoint: Outcome will be measured at both the beginning and end of treatment. Method of measurement: measured by two-dimensional ultrasound. Maximum thickness of bulbouspongesios. Timepoint: Outcome will be measured at both the beginning and end of treatment. Method of measurement: measured by two-dimensional ultrasound. Area of Ischiocavernus. Timepoint: Outcome will be measured at both the beginning and end of treatment. Method of measurement: measured by two-dimensional ultrasound. Area of bulbouspongesios. Timepoint: Outcome will be measured at both the beginning and end of treatment. Method of measurement: measured by two-dimensional ultrasound. Maximum cavernosal systolic velocity. Timepoint: Outcome will be measured at both the beginning and end of treatment. Method of measurement: measured by color ultrasound. Minimum diastolic velocity of cavernosal artery. Timepoint: Outcome will be measured at both the beginning and end of treatment. Method of measurement: measured by color ultrasound. Cavernosal artery diameter. Timepoint: Outcome will be measured at both the beginning and end of treatment. Method of measurement: measured by color ultrasound. Maximum blood velocity in the posterior vein. Timepoint: Outcome will be measured at both the beginning and end of treatment. Method of measurement: measured by color ultrasound. Shahid Beheshti University of Medical Sciences Approved 2022-01-09 Ethics Committee of Shahid Beheshti University of Medical Sciences No. 11/1 , Pejman 1, Ebadi 47 , Ayatollah Ebadi St , Mashhad Tehran Tehran Iran (Islamic Republic of)