Effect of Kegel’s Exercises on Urinary Incontinence, Frailty Syndrome, and Self-esteem After TURP: A RCT

Objectives Urinary incontinence (UI) is one of the major complications of benign prostate hyperplasia (BPH), which reduces the concept of male identity, and self-esteem and increases frailty syndrome. The present study aims to determine the effect of Kegel’s exercises on UI, frailty syndrome, and self-esteem of the elderly with BPH after transurethral resection of prostate (TURP). Methods & Materials In this randomized clinical trial, 76 older men with BPH who had underwent TURP surgery were randomly assigned to the control and intervention groups. The intervention group performed 60 Kegel’s exercises daily for 12 weeks, but the control group did not perform any exercises. The Edmonton frailty scale, international consultation on incontinence questionnaire – UI short form (ICIQ-UI-SF), Rosenberg self-esteem scale, mini mental status examination, questionnaire of urinary incontinence diagnosis, and a demographic form were completed before training, eight weeks after training, and four weeks after the end of training. Statistical analysis was conducted using descriptive and inferential tests in SPSS software, version 26. Results The mean scores of frailty syndrome, self-esteem and UI improved in the intervention group, but worsened in the control group (P<0.001). There were no significant differences between groups before training but significant differences were reported eight weeks after training and four weeks after end of training (P<0.05). Conclusion Implementing 60 Kegel’s exercises daily for 12 weeks after TURP can reduce UI and frailty syndrome and increase self-esteem in older men.