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IRCT20260915071067N1 IRCT 2026-09-16 Hamedan University of Medical Sciences Effect of Bladder Training and Kegel Exercises on Urinary Incontinence and Quality of Life After Transurethral Resection of the Prostate Comparison of the Effectiveness of Bladder Training and Pelvic Floor Muscle Exercises (Kegel Exercises) with Usual Care on Urinary Incontinence and Quality of Life in Men Candidates for Transurethral Resection of the Prostate (TURP) 2026-10-07 anticipated 90 Recruiting https://irct.ir/trial/93363 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Other design features: This study is a randomized clinical trial with a parallel three-group design. After confirming eligibility criteria and obtaining informed consent, participants will be randomly allocated into three groups: bladder training group, Kegel exercise group, and control group. The interventions will start one week before Transurethral Resection of the Prostate (TURP) surgery and will continue for eight weeks after surgery. The primary outcomes, including urinary incontinence and quality of life related to urinary problems, will be assessed before the intervention and after completion of the intervention period, Randomization description: Randomization in this study will be performed using simple randomization at the individual level. After selecting eligible participants and obtaining written informed consent, each participant will be assigned a number from 1 to 90. The assigned numbers will be placed in a bag, and participants will be randomly allocated without replacement into three groups of 30 participants: the bladder training group, the Kegel exercise group, and the control group. Stratified or cluster randomization will not be used in this study. The random sequence will be generated by a random drawing method. For allocation concealment, the assigned numbers will be kept in the bag until the final allocation, and each participant's group assignment will be determined only after confirmed enrollment in the study. N/A Benign Prostatic Hyperplasia. Intervention 1: Intervention group 1: Participants in this group will receive bladder training in addition to usual care. Bladder training includes scheduled voiding, urgency control techniques, limitation of bladder irritant fluid intake, and recording urinary patterns. This intervention will start one week before transurethral resection of the prostate and will continue for eight weeks after surgery. Intervention 2: Intervention group 2: Participants in this group will receive pelvic floor muscle exercises (Kegel exercises) in addition to usual care. The intervention includes contraction and relaxation of pelvic floor muscles performed 40 times daily. Patients will receive instructions on correct performance of the exercises. The intervention will start one week before transurethral resection of the prostate and will continue for eight weeks after surgery. Intervention 3: Control group: Participants in this group will receive routine care and education before and after transurethral resection of the prostate. This group will not receive any specific training in bladder training or pelvic floor muscle exercises. No - There is not a plan to make this available Justification or reason for not sharing IPD is Due to maintaining participants' confidentiality and adhering to research ethics principles, individual participant data will not be publicly shared.
public Seyed Ali Rasooli
Central Office of Hamadan University of Medical Sciences, Shahid Fahmideh Boulevard, Pajouhesh Square, Hamadan
Hamadan Iran (Islamic Republic of) ۶۵۱۷۸۳۸۷۳۶ +98 81 3323 9840 alirasoolix6@gmail.com Hamedan University of Medical Sciences scientific Seyed Ali Rasooli
Central Office of Hamadan University of Medical Sciences, Shahid Fahmideh Boulevard, Pajouhesh Square, Hamadan
Hamadan Iran (Islamic Republic of) ۶۵۱۷۸۳۸۷۳۶ +98 81 3323 9840 alirasoolix6@gmail.com Hamedan University of Medical Sciences Iran (Islamic Republic of) Men who are candidates for Transurethral Resection of the Prostate (TURP). Patients undergoing TURP surgery according to the urologist's decision. Age between 40 and 80 years. Having primary school education or higher. Willingness to participate in the study and signing the informed consent form. No history of previous pelvic surgery. No diagnosis of prostate cancer based on postoperative pathology results. No previous training in bladder training or Kegel exercises before entering the study. No cognitive impairment. No urinary incontinence caused by underlying diseases such as diabetes or urinary tract infections. 40 years 80 years Male Diagnosis of prostate cancer based on pathology results History of previous pelvic surgery Previous training in bladder training or Kegel exercises Presence of cognitive impairment Presence of urinary incontinence caused by conditions such as diabetes or urinary tract infection N40 Benign prostatic hyperplasia Rehabilitation Rehabilitation N/A Intervention group 1: Participants in this group will receive bladder training in addition to usual care. Bladder training includes scheduled voiding, urgency control techniques, limitation of bladder irritant fluid intake, and recording urinary patterns. This intervention will start one week before transurethral resection of the prostate and will continue for eight weeks after surgery. Intervention group 2: Participants in this group will receive pelvic floor muscle exercises (Kegel exercises) in addition to usual care. The intervention includes contraction and relaxation of pelvic floor muscles performed 40 times daily. Patients will receive instructions on correct performance of the exercises. The intervention will start one week before transurethral resection of the prostate and will continue for eight weeks after surgery. Control group: Participants in this group will receive routine care and education before and after transurethral resection of the prostate. This group will not receive any specific training in bladder training or pelvic floor muscle exercises. Urinary incontinence severity. Timepoint: Measurement of urinary incontinence severity before the intervention and two months after transurethral resection of the prostate. Method of measurement: International Consultation on Incontinence Questionnaire short form. Quality of life related to urinary symptoms. Timepoint: Measurement of quality of life related to urinary symptoms before the intervention and two months after transurethral resection of the prostate. Method of measurement: Lower urinary tract symptoms quality of life questionnaire. Hamedan University of Medical Sciences Approved 2026-09-12 Ethics Committee of Hamadan University of Medical Sciences Central Office of Hamadan University of Medical Sciences, Shahid Fahmideh Boulevard, Pajouhesh Square, Hamadan Hamadan Hamadan Iran (Islamic Republic of)