Health Condition 1: C20- Malignant neoplasm of rectum
Conditions
Interventions
Intervention1: Pelvic Floor Muscle Strengthening Exercises: Pelvic Floor Muscle Strengthening Exercises:
Total time required for 3 Pelvic Floor Exercise- 4 min
1. Kegel exercises for men.
2. Supine fo
Sponsors
Tata Memorial Centre
Eligibility
Inclusion criteria
Inclusion criteria: Inclusion Criteria 1. Age > 18 years and 2. Gender- Male Patients. 3. Patients who had undergone Rectal Surgeries such as AnteriorResection (AR), Abdomino-Perineal Resection (APR), Inter Sphincteric Resection (ISR). 4. Post surgery follow up patients after 6 months. a. Rehabilitation requires postoperative period of 6 months to evaluate the erectile dysfunction as the investigator and DMG thinks- b. 1. AR and APR involves handling of nerves which has an impact on sexual; functioning. c. 2. Adjuvant radiation therapy is the protocol which covers a time period of 2 months. d. 3. Time required for surgery and RT will be around 4 months. e. 4. Exploration by patient to understand the ED postoperatively will be around 6 months. f. Hence a time period of 6 months postoperative was considered for rehabilitation of erectile dysfunction. 5. NCCN guidelines -tumor staging, radiation therapy (In radiation Therapy two modalities are followed a. 25/28 Fractions for 5 weeks (50.4GY), 2.5/5-5Gy Radiation per day for 5days b. 8-12 week post radiation surgery is planned. 6. It involves radiation to pelvic area leading to compromised blood supply to pelvic muscles and nerve leading to decreased level of erection and difficulty in maintaining erection. 7. Patients who can perform exercises. 8. Patient who can read, write and speak English
Exclusion criteria
Exclusion criteria: Exclusion criteria: Patients with previous history of erectile dysfunction prior to treatment. Extended TME patients Patients who are not willing to participate in study. Patients with neurological deficits such as Cerebro-vascular Accidents, multiple sclerosis, spinal cord injury or Parkinsonâ??s disease.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To assess the effectiveness of pelvic floor muscle strengthening exercises on erectile dysfunction in rectal cancer survivorsTimepoint: 1.first assessment will be on preintervention(day 0) 2. second assessment will be on 10th week of completion of intervention by each patient. | — |
Secondary
| Measure | Time frame |
|---|---|
| 2.To find out association between selected demographic variables(age, clinical diagnosis, type of surgery, type of adjuvant therapy, radiation therapy details, comorbidities) and erectile dysfunction.Timepoint: 1.first assessment will be on preintervention(day 0) second assessment will be on 10th week of completion of intervention by each patient.;To find out incidence of erectile dysfunction in rectal cancer survivors.Timepoint: 1.first assessment will be on preintervention(day 0) | — |
Countries
India
Contacts
Public ContactAmit Sharad Shirke
Tata Memorial Hospital
Outcome results
None listed