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AIM
• Aim of the study is to compare effectives kegel exercise with Electrical
Stimulation and electrical stimulation alone on Erectile Dysfunction
patients

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 OBJECTIVES
• To rectify the erectile dysfunction in a best way by the treatment of
physiotherapy.
• To reduce the side effects of pharmaceutical medication.
• Increase the sexual satisfaction between the individuals.

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 INTRODUCTION
• Sex is totally emotion based contact between individuals involving
penetration, especially the insertion of a man’s erect penis into a woman’s
vagina, which typically culminating in organism and the ejaculation of
semen
• Erection of penis is the n is a complex process involving hormonal, vascular,
and neural systems, with significant psychological inputs as well which is
clinically said as ``state of penis when it is filled with blood and becomes
rigid’’
• Erection Dysfunction is the constant or repetitive appearance of an inability
to attain or maintain an erection

NCPT '16
 HYPOTHESIS
• Null hypothesis
• No significant difference between kegel exercise with Electrical Stimulation and
electrical stimulation alone on Erectile Dysfunction patients

• Alternate hypothesis
• Significant difference between kegel exercise with Electrical Stimulation and
electrical stimulation alone on Erectile Dysfunction patients

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 MATERIALS
• Electrical stimulator
• Leads
• Electrode
• Cotton
• Salt and water
• Cable

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 METHODOLOGY
• Study design : Pre and Post treatment Quasi experimental study
• Sampling method : Randomized control trial
• Sample size : 15
• Study population : 30 patients with erectile dysfunction of 25 – 50
years of old are selected & they are randomly divided
into two groups . Group A (n=15) receives electrical
stimulation with kegel exercise . Group B (n=15) receives
electrical stimulation alone.
• Study parameter : International Index Of Erectile Function Questionnaire(3)
• Study duration : 4 weeks
• Study setting : Sudha Institute Of Medical Science & Hospital. Erode
V Chukkira Mananala Aalosanai Maiyam. Erode
NCPT '16
 METHODOLOGY
• Inclusion criteria
• Patients with relevant clinical diagnosis of ED
• Patients with pelvic floor muscle weakness
• Exclusion criteria
• Hyperpyrexia
• Cardio vascular disease
• Peripheral vascular disease
• Local infection
• Hypersensitive skin
• Mentally retarded patients

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 ELECTRICAL STIMULATION
• Apparatus are checked
• Patient’s position : supine lying
• Therapist position : walk standing
• Procedure
• In the stimulator knobs are adjusted into `0’ & towards faradic current side
• Electrodes are placed respectively (passive – just above the rectum @sacral
plexus active - ).
• Faradic current’s intensity was adjusted towards the feeble muscle contraction
at penis.
• Treatment duration : 20 minutes
• Stimulation was given once a day for a month.

NCPT '16
 KEGEL EXERCISE
• Repetitive contraction of the pelvic muscles that control the flow in urination
in order to strengthen these muscles to enhance sexual responsiveness
during intercourse.
• Procedure
• Ask the patient to feel the muscle accordingly(explained as to find your muscle
by stopping the flow of urine midstream).
• Ask the patient to erect their penis actively by placing their fingers between the
rectum and penis to feel their own contraction.
• Repeat this for 20 times.
• Exercise the patient for thrice a day with minimum of 20 – 30 contraction per
session.

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 DATA ANALYSIS & INTERPRETATION

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 DISCUSSION

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 RESULT

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 REFERENCES
1) Indian journal of sexology volume VI no:2.,page no: 13
2) News & views volume no: 98, 105, 106,108, 116, 117.
3) Journal of Urology June 1997.volume no : 49(6) page no 822 - 830

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 THANK YOU

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 PARAMETER
International Index Of Erectile Function Questionnaire
Questions 0 1 2 3 4 5

When you had an erection with sexual stimulation, how often were No sexual Almost never A few times (much Sometimes Most times Almost
your erections hard enough for penetration? activity /Never less than half the (about the half (much more than always
time) time) half time) /always

During sexual intercourse, how often were you able to maintain your Did not Almost never A few times (much Sometimes Most times Almost
erection after you had penetrated your partner? attempt /Never less than half the (about the half (much more than always
intercourse time) time) half time) /always

When you attempted sexual stimulation or intercourse, how often was Did not Almost never A few times (much Sometimes Most times Almost
it satisfactory to you? attempt /Never less than half the (about the half (much more than always
intercourse time) time) half time) /always

When you had sexual stimulation or intercourse how often did you No sexual Almost never A few times (much Sometimes Most times Almost
have the feeling of orgasm or climax? stimulation /Never less than half the (about the half (much more than always
/intercourse time) time) half time) /always

How would you rate your level of sexual desire? Very low Low Moderate High Very high
/none at all

How satisfied have you been with your overall sex life? Very Moderately About equally Moderately Very
dissatisfied dissatisfied satisfied & satisfied satisfied
dissatisfied

NCPT '16 Total score = 30

 PARAMETER
Interpretation
Score Category

26 – 30 No impotence

22 – 25 Mild

17 – 21 Mild to moderate

11 – 16 Moderate

<10 severe

NCPT '16