Erectile Dysfunction
Conditions
Brief summary
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.
Detailed description
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.
Interventions
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
Sponsors
Study design
Eligibility
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.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Five-item international index of erectile function | 12 weeks | A hard copy of FI-IIEF was given to every HD man with ED to fill it before and after the IDEP. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| ten-question Rosenberg self-esteem scale (TQ-RSES), | 12 weeks | ten questions/statements. Four-point Likert responses were allocated to every question/statement of the ten-question Rosenberg self-esteem scale (TQ-RSES). |
Other
| Measure | Time frame | Description |
|---|---|---|
| version three of the Revised UCLA Loneliness Scale (LS), | 12 weeks | This scale was used to assess HD patients' loneliness. Four-point Likert responses were allocated to every question/statement of this 20-item scale. |
| the revised version of Impact of Event Scale (RV-IES), | 12 weeks | The RV-IES tool/questionnaire is commonly utilized in clinical trials to monitor subjects' stress to recent and/or specific traumatic events. Five-point Likert responses were allocated to every question/statement of this 22-item scale |
| Beck's Depression Inventory (BDI) | 12 weeks | This inventory was used to assess depression in this study's participants. The assessed HD patients' BDI contained 21 questions/items |
| State-Trait Anxiety Inventory (S-TAI) | 12 weeks | S-TAI is a psychologically self-reported valid/reliable inventory/questionnaire used to examine two main forms of anxiety |
Countries
Egypt