Effect of Intradialytic Exercise on Erectile Dysfunction in Hemodialysis Men

Mohammed Mohamed Mazen40 enrolled

Overview

This study aimed to assess the effect of IDEP on ED and its associated psychological burden in HD men. Forty HD men with ED were randomly assigned into the IDEP group (this group contained 20 HD men with ED who received intradialytic cycling three times per week) and the control group (this group served as waitlist men). outcomes : Five-Item International Index of Erectile Function (FI-IIEF), ten-question Rosenberg self-esteem scale (TQ-RSES), version three of the Revised UCLA Loneliness Scale (LS), the revised version of Impact of Event Scale (RV-IES), Beck's Depression Inventory (BDI), and State-Trait Anxiety Inventory (S-TAI) were assessed before and after 12 weeks.

This study aimed to assess the effect of IDEP on ED and its associated psychological burden in HD men. Forty HD men with ED were randomly assigned into the IDEP group (this group contained 20 HD men with ED who received intradialytic cycling three times per week) and the control group (this group served as waitlist men). outcomes :Five-Item International Index of Erectile Function (FI-IIEF), ten-question Rosenberg self-esteem scale (TQ-RSES), version three of the Revised UCLA Loneliness Scale (LS), the revised version of Impact of Event Scale (RV-IES), Beck's Depression Inventory (BDI), and State-Trait Anxiety Inventory (S-TAI) were assessed before and after 12 weeks.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

QUADRUPLE

Enrollment

Conditions

Erectile Dysfunction

Interventions

intradialytic exerciseOTHER

HD men came to the HD unit three times weekly to receive their dialysis session which consumed 3-4 hours. During the first two hours of the men's dialysis session, a pedal exerciser (RTL10273 Deluxe Folding Pedal Exerciser, Drive Medical Co. MPN) was utilized in performing leg cycling exercises while men were sitting. Before starting the session of intradialytic cycling, a 5-minute stretching of the lower limbs was performed as a warming up. Also, as cooling down, the same period of lower limbs' stretching was performed after ending intradialytic cycling

Eligibility

Sex: MALEMin age: 35 YearsMax age: 48 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Men gender * Hemodialysis for at least 6 months their * Age between 35 to 48 years old. * Married patient * Education level. * The problem of ED was diagnosed by a physician at least 6 months before enrollment in this study. Exclusion Criteria: * prostatic disorders * systemic diseases (diabetes mellitus or hypertension) * cardiac diseases * musculoskeletal issues (e.g. muscle contusion, osteoarthritis, osteoporosis, osteopenia, etc.), * persistent hyperkalemia * penile shaft problems/implants * malignancies, acute/chronic infection or inflammation * autoimmune disease * cerebrovascular accidents/insults * a history of frequent hypoglycaemic episodes, * absolute contraindications to cardiopulmonary training/exertion * respiratory or liver diseases * participation in another structured interdialytic or intradialytic exercise programs * neurological diseases * consumptions of ED pharmacotherapies * previous pelvic surgeries * radiotherapy * low levels of testosterone or sex hormones, * psychological diseases * Present history of smoking or alcohol consumption.

Outcomes

Primary Outcomes

Five-item international index of erectile function

A hard copy of FI-IIEF was given to every HD man with ED to fill it before and after the IDEP.

Time frame: 12 weeks

Secondary Outcomes

ten-question Rosenberg self-esteem scale (TQ-RSES),

ten questions/statements. Four-point Likert responses were allocated to every question/statement of the ten-question Rosenberg self-esteem scale (TQ-RSES).