Sahin Emel, Brand Alma, Cetindag Elif Nazli, Messelink Bert, Yosmaoglu Hayri Baran
Physiotherapy and Rehabilitation Department, Faculty of Health Science, Cyprus Aydın University, Girne, Cyprus.
Department of Clinical Psychology, Open University, Heerlen, The Netherlands.
Int J Impot Res. 2025 Feb 27. doi: 10.1038/s41443-025-01034-5.
Pelvic physical therapy is an evidence-based, first-line treatment for many pelvic floor disorders and sexual dysfunction. Studies have shown that pelvic physical therapy programs can both improve pelvic floor dysfunctions and sexual function. This article aims to provide an overview of the current state of the art regarding pelvic physical therapy for male sexual dysfunction to inform healthcare providers who treat men with sexual dysfunction better. A literature review was performed in Google Scholar, PubMed, and Science Direct to find review articles, research articles, and case studies about the effect of pelvic physical therapy treatments for male sexual dysfunction. Twenty-six articles were found about various pelvic physical therapy interventions. Besides this overview of the literature, an overview of interventions used in clinical practice is also provided. This narrative review supports the potential efficacy of pelvic physical therapy in addressing male sexual dysfunction. Pelvic physical therapy approaches that comprise exercise modalities, electrotherapy approaches, manipulative techniques, lifestyle changes, behavioral suggestions, and pain management strategies, should be suggested for potential benefits in improving erectile function, premature ejaculation, and sexual dysfunction-associated chronic pelvic pain. More research is needed to examine the effect of pelvic physical therapy on hypoactive sexual desire and delayed ejaculation.
盆腔物理治疗是许多盆底功能障碍和性功能障碍的循证一线治疗方法。研究表明，盆腔物理治疗方案既能改善盆底功能障碍，又能改善性功能。本文旨在概述男性性功能障碍盆腔物理治疗的当前技术水平，以便更好地为治疗男性性功能障碍的医疗服务提供者提供信息。在谷歌学术、PubMed和科学Direct上进行了文献综述，以查找有关盆腔物理治疗对男性性功能障碍影响的综述文章、研究文章和病例研究。共找到26篇关于各种盆腔物理治疗干预措施的文章。除了对文献的概述外，还提供了临床实践中使用的干预措施的概述。这篇叙述性综述支持盆腔物理治疗在解决男性性功能障碍方面的潜在疗效。应建议采用包括运动方式、电疗方法、手法技术、生活方式改变、行为建议和疼痛管理策略在内的盆腔物理治疗方法，以改善勃起功能、早泄和性功能障碍相关慢性盆腔疼痛。需要更多的研究来检验盆腔物理治疗对性欲减退和射精延迟的影响。
