Treatment of patients with erectile dysfunction by physiotherapy. Literature review

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Erectile dysfunction is one of the most frequent sexual disorders in men and is found in 10-52% of men in the general population.

The disease is polyetiological, involving psychogenic, vascular, neurological, urological, and endocrine mechanisms.

The relevance of this problem lies in the high damage to the mental health of the patient, leading to a deterioration in his quality of life. In addition, drug therapy with the use of type 5 phosphodiesterase inhibitors is accompanied by headaches, skin flushing, heartburn, nasal congestion and dizziness, visual impairment, and muscle pain. In this regard, it became necessary to use physiotherapeutic methods of treatment to restore erectile function with minimal side effects.

This review also presents pathogenetic substantiated basic physiotherapeutic methods for treating patients with erectile dysfunction using pelvic floor muscle training, aerobic sports exercises, transcutaneous electrical nerve stimulation, manual therapy and mechanical vibration therapy.

作者简介

Mustafa Al-Zamil

Peoples' Friendship University of Russia; Medical Dental Institute; Brain and Spine Clinic

编辑信件的主要联系方式.
Email: alzamil@mail.ru
ORCID iD: 0000-0002-3643-982X
SPIN 代码: 3434-9150

MD, Dr. Sci. (Med.), Professor

俄罗斯联邦, 6, Miklukho-Maklaya street, 117198 Moscow; Moscow; Podolsk

Nataly Kulikova

Peoples' Friendship University of Russia; National Medical Research Center of Rehabilitation and Balneology

Email: kulikovang777@mail.ru
ORCID iD: 0000-0002-6895-0681
SPIN 代码: 1827-7880

MD, Dr. Sci. (Med.), Professor

俄罗斯联邦, 6 Miklukho-Maklaya street, 117198 Moscow; Moscow

Ekaterina Vasilieva

Petrovsky National Research Centre of Surgery; Moscow State University of Medicine and Dentistry named after A.I. Evdokimov

Email: e_vasilieva@inbox.ru
ORCID iD: 0000-0003-3087-3067
SPIN 代码: 5423-8408

MD, Dr. Sci. (Med.)

俄罗斯联邦, Moscow; Moscow

Inessa Minenko

The First Sechenov Moscow State Medical University (Sechenov University)

Email: kuz-inna@mail.ru
ORCID iD: 0000-0002-6766-8764
SPIN 代码: 5105-8330

MD, Dr. Sci. (Med.), Professor

俄罗斯联邦, Moscow

Denis Zalozhnev

Medical Dental Institute

Email: olivia4967@mail.ru
ORCID iD: 0000-0001-8976-3378

Graduate Student

俄罗斯联邦, Moscow

参考

  1. Al-Zamil MH, Puzin MN, Kiparisova ES. Complication of the genital nerve in men after a coronavirus infection COVID-19. Bulletin Med Dental Institute. 2021;58(3):39–44.
  2. (In Russ).
  3. Angeli O, Nagy ZZ, Schneider M. [Spontaneous visual recovery following a central retinal artery occlusion in a patient with a cilioretinal artery. (In Hungary)]. Orv Hetil. 2019;160(29):1146–1152. doi: 10.1556/650.2019.31434
  4. Cohen D, Gonzalez J, Goldstein I. The role of pelvic floor muscles in male sexual dysfunction and pelvic pain. Sex Med Rev. 2016;4(1):53–62. doi: 10.1016/j.sxmr.2015.10.001
  5. Rosenbaum TY, Owens A. Continuing medical education: the role of pelvic floor physical therapy in the treatment of pelvic and genital pain-related sexual dysfunction (CME). J Sex Med. 2008;5(3):513–523; quiz 524-5. doi: 10.1111/j.1743-6109.2007.00761.x
  6. Pischedda A, Fusco F, Curreli A, et al. Pelvic floor and sexual male dysfunction. Arch Ital Di Urol Androl. 2013;85(1):1–7. doi: 10.4081/aiua.2013.1.7
  7. Stein A, Sauder SK, Reale J. The role of physical therapy in sexual health in men and women: Evaluation and treatment. Sex Med Rev. 2019;7(1):46–56. doi: 10.1016/j.sxmr.2018.09.003
  8. Moore KL, Dalley AF. Clinically oriented anatomy. 5th ed. Lippincott, Williams & Wilkins; 2006. Р. 356–476.
  9. Alwaal A, Breyer BN, Lue TF. Normal male sexual function: Emphasis on orgasm and ejaculation. Fertil Steril. 2015;104(5):1051–1060. doi: 10.1016/j.fertnstert.2015.08.033
  10. McCabe MP, Sharlip ID, Atalla E, et al. Definitions of sexual dysfunctions in women and men: A consensus statement from the fourth international consultation on sexual medicine 2015. J Sex Med. 2016;13(2):135–143. doi: 10.1016/j.jsxm.2015.12.019
  11. NIH Consensus Conference. Impotence. NIH Consensus Development Panel on Impotence. JAMA. 1993;270(1):83–90.
  12. Goldstein I, Goren A, Li VW, et al. Epidemiology update of erectile dysfunction in eight countries with high burden. Sex Med Rev. 2020;8(1):48–58. doi: 10.1016/j.sxmr.2019.06.008
  13. Kessler A, Sollie S, Challacombe B, et al. The global prevalence of erectile dysfunction: A review. BJU Int. 2019;124(4):587–599. doi: 10.1111/bju.14813
  14. Laumann EO, Paik A, Rosen RC. Sexual dysfunction in the United States. JAMA. 1999;281(6):537–544. doi: 10.1001/jama.281.6.537
  15. Rotella DP. Phosphodiesterase 5 inhibitors: Current status and potential applications. Nat Rev Drug Discov. 2002;1(9):674–682. doi: 10.1038/nrd893
  16. Dhaliwal A, Gupta M. PDE5 Inhibitors. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022.
  17. Sowka JW, Neiberg MN, Vollmer LA. Optic atrophy after sildenafil use. Optometry. 2007;78(3):122–128. doi: 10.1016/j.optm.2007.01.005
  18. Barroso F, Ribeiro JC, Miranda EP. Phosphodiesterase type 5 inhibitors and visual side effects: A narrative review. J Ophthalmic Vis Res. 2021;16(2):248–259. doi: 10.18502/jovr.v16i2.9088
  19. Hafidi Z, Handor H, Laghmari M, Daoudi R. Cilioretinal artery and central retinal vein occlusion after sildenafil use. Emerg Med J. 2014;31(7):535. doi: 10.1136/emermed-2013-203074
  20. Dorey G, Speakman M, Feneley R, et al. Randomised controlled trial of pelvic floor muscle exercises and manometric biofeedback for erectile dysfunction. Br J Gen Pract. 2004;54(508): 819–825.
  21. Kannan P, Winser SJ, Ho L, et al. Effectiveness of physiotherapy interventions for improving erectile function and climacturia in men after prostatectomy: A systematic review and meta-analysis of randomized controlled trials. Clin Rehabil. 2019;33(8):1298–1309. doi: 10.1177/0269215519840392
  22. Gerbild H, Larsen CM, Graugaard C, et al. Physical activity to improve erectile function: A systematic review of intervention studies. Sex Med. 2018;6(2):75–89. doi: 10.1016/j.esxm.2018.02.001
  23. Dorey G, Speakman MJ, Feneley RC, et al. Pelvic floor exercises for erectile dysfunction. BJU Int. 2005;96(4):595–597. doi: 10.1111/j.1464-410X.2005.05690.x
  24. Lin YH, Yu TJ, Lin VC, et al. Effects of early pelvic-floor muscle exercise for sexual dysfunction in radical prostatectomy recipients. Cancer Nurs. 2012;35(2):106–114. doi: 10.1097/NCC.0b013e3182277425
  25. Prota C, Gomes C, Ribeiro L, et al. Early postoperative pelvic-floor biofeedback improves erectile function in men undergoing radical prostatectomy: A prospective, randomized, controlled trial. Int J Impot Res. 2012;24(5):174–178. doi: 10.1038/ijir.2012.11
  26. Glazener C, Boachie C, Buckley B, et al. Urinary incontinence in men after formal one-to-one pelvic-floor muscle training following radical prostatectomy or transurethral resection of the prostate (MAPS): Two parallel randomised controlled trials. Lancet. 2011;378(9788):328–337. doi: 10.1016/S0140-6736(11)60751-4
  27. Duca Y, Calogero AE, Cannarella R, et al. Erectile dysfunction, physical activity and physical exercise: Recommendations for clinical practice. Andrologia. 2019;51(5):e13264. doi: 10.1111/and.13264
  28. Lamina S, Agbanusi EC, Nwacha RC. Effects of Aerobic exercise in the management of erectile dysfunction. Ethiop J Health Sci. 2011;21(3):125–129.
  29. Hawley JA, Hargreaves M, Joyner MJ, Zierath JR. Integrative biology of exercise. Cell. 2014;159(4):738–749. doi: 10.1016/j.cell.2014.10.029
  30. Belardinelli R, Lacallaprice F, Faccenda E, et al. Effects of short-term moderate exercise training on sexual function in male patients with chronic stable heart failure. Int J Cardiol. 2005;101(1):83–90. doi: 10.1016/j.ijcard.2004.05.020
  31. Morelli A, Filippi S, Comeglio P, et al. Physical activity counteracts metabolic syndrome-induced hypogonadotropic hypogonadism and erectile dysfunction in the rabbit. Am J Physiol Endocrinol Metab. 2019;316(3):E519–E535. doi: 10.1152/ajpendo.00377.2018
  32. Frawley HC, McClurg D, Mahfooza A, et al. Health professionals’ and patients’ perspectives on pelvic floor muscle training adherence-2011 ICS State-of-the-Science Seminar research paper IV of IV. Neurourol Urodyn. 2015;34(7):632–639. doi: 10.1002/nau.22774
  33. Yaacov D, Nelinger G, Kalichman L. The effect of pelvic floor rehabilitation on males with sexual dysfunction: A narrative review. Sex Med Rev. 2022;10(1):162–167. doi: 10.1016/j.sxmr.2021.02.001
  34. Rival T, Clapeau L. [Effectiveness of pelvic floor rehabilitation in erectile dysfunction: A literature review. (In French)]. Prog Urol. 2017;27(17):1069–1075. doi: 10.1016/j.purol.2017.09.004
  35. Carboni C, Fornari A, Bragante KC, et al. An initial study on the effect of functional electrical stimulation in erectile dysfunction: A randomized controlled trial. Int J Impot Res. 2018;30(3):97–101. doi: 10.1038/s41443-018-0024-8
  36. Rislanu A, Auwal H, Musa D, Auwal A. Comparative effectiveness of electrical stimulation and aerobic exercise in the management of erectile dysfunction: A randomized clinical trial. Ethiop J Health Sci. 2020;30(6):961–970. doi: 10.4314/ejhs.v30i6.14
  37. Kayigil O, Agras K, Gurdal M, et al. Effects of transanal pelvic plexus stimulation on penile erection: Clinical implications. Int Urol Nephrol. 2007;39(4):1195–1201. doi: 10.1007/s11255-007-9205-y
  38. Derouet H, Nolden W, Jost WH, et al. Treatment of erectile dysfunction by an external ischiocavernous muscle stimulator. Eur Urol. 1998;34(4):355–359. doi: 10.1159/000019755
  39. Sturny M, Karakus S, Fraga-Silva R, et al. PS-04-002 Long-term low intensity electrostimulation of injured cavernosal nerve improves erectile function recovery in a rat model postprostatectomy erectile dysfunction. The J Sexual Med. 2019;16(5):S13–S14. doi: 10.1016/j.jsxm.2019.03.062
  40. Limanjaya A, Kwon MH, Song KM, et al. Pericyte-derived exosome promotes caverous angiogenesis and neural regeneration and rescues erectile function. J Urol. 2019;201(Suppl 4). doi: 10.1097/01.JU.0000555755.74398.e9
  41. Fode M, Borre M, Ohl DA, et al. Penile vibratory stimulation in the recovery of urinary continence and erectile function after nerve-sparing radical prostatectomy: A randomized, controlled trial. BJU Int. 2014;114(1):111–117. doi: 10.1111/bju.12501
  42. Sonksen J, Biering-Sorensen F, Kristensen JK. Ejaculation induced by penile vibratory stimulation in men with spinal cord injuries. The importance of the vibratory amplitude. Paraplegia. 1994;32(10):651–660. doi: 10.1038/sc.1994.105

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2. Fig. 1. Pelvic floor muscles: 1 ― m. bulbocavernosus, 2 ― m. ischiocavernosus; 3 ― tuber ischiadicum; 4 ― m. gluteus maximus; 5 ― coccyx; 6 ― m. levator ani; 7 ― m. sphonctor ani ext; 8 ― m. transversus perinei profundus.

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3. Fig. 2. Penile cross section: 1 ― superficial dorsal vein; 2 ― deep dorsal vein; 3 ― areolar tissue; 4 ― deep fascia; 5 ― urethra; 6 ― corpus spongiosum; 7 ― bulbocavernous artery; 8 ― cavernous artery; 9 ― superficial fascia; 10 ― skin; 11 ― corpus cavernosum; 12 ― dorsal artery.

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4. Fig. 3. Regulation of erectile function, starting from the central excitation of the cavernous nerve to a decrease in the concentration of calcium ions in the smooth muscles of the arteries of the penis and cavernous bodies (explanation in the text). Note: ГТФ ― guanosine triphosphate; цГМФ ― cyclic guanosine monophosphate; ФДЭ-5 ― phosphodiesterase type 5.

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5. Fig. 4. Exercises for training pelvic floor muscles.

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