A New Frontier in BPE Treatment: Intersection of Pelvic Floor Muscle Training & Luts
Abstract
This study highlights the emerging role of pelvic floor muscle training (PFMT) as an adjunct to medical therapy in managing lower urinary tract symptoms (LUTS) associated with benign prostatic enlargement (BPE). While alpha-blockers remain the cornerstone of treatment, their efficacy may be enhanced by targeting pelvic floor dysfunction, a factor often overlooked in LUTS management. The findings demonstrate that combining PFMT with Silodosin results in superior symptomatic relief, improved urinary flow, and better post-void residual reduction compared to medical therapy alone. Notably, these benefits were observed irrespective of constipation status, suggesting a broader therapeutic implication. Given the significant impact of LUTS on quality of life, this study paves the way for non-invasive, cost-effective strategies to optimise patient outcomes. The results warrant further large-scale trials to validate PFMT as a standard complementary approach in BPE management, potentially reshaping clinical practice and improving patient care. Abstract Objective: Lower urinary tract symptoms (LUTS) associated with benign prostatic enlargement (BPE) are common among ageing men. Emerging evidence suggests a strong interplay between pelvic floor dysfunction and LUTS, often exacerbated by underlying constipation, whether clinically apparent or subclinical. Pelvic floor muscle training (PFMT), a well-established intervention for constipation, may offer therapeutic benefits in BPE-related…
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