{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"institution":[{"name":"Research Square"}],"indexed":{"date-parts":[[2025,8,2]],"date-time":"2025-08-02T17:09:14Z","timestamp":1754154554952,"version":"3.41.2"},"posted":{"date-parts":[[2025,5,10]]},"group-title":"In Review","reference-count":24,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2025,5,10]],"date-time":"2025-05-10T00:00:00Z","timestamp":1746835200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"accepted":{"date-parts":[[2025,5,5]]},"abstract":"<title>Abstract<\/title>\n        <p>Pelvic\u2011floor physiotherapy (PFP) has emerged as a conservative, low\u2011risk treatment for several sexual dysfunctions. To map its contemporary evidence base, we performed a systematic scoping review of PubMed, Embase, Scopus and Web of Science (2015\u202f\u2013\u202fFebruary\u202f2025) for randomised, quasi\u2011experimental and cohort studies that centred on pelvic\u2011floor interventions in adults with erectile dysfuncton(ED), premature ejaculation (PE), genito\u2011pelvic pain disorders (GPPPD) or orgasmic dysfunction. Seventy\u2011six studies met the criteria, including 36 randomised controlled trials that were appraised with RoB\u202f2 or ROBINS\u2011I and graded with GRADE. Structured pelvic\u2011floor muscle training (PFMT) increased International Index of Erectile Function\u20115 scores by about five points and sustained the benefit for up to 24\u202fmonths. In PE, PFMT roughly doubled intravaginal ejaculatory latency time and lowered Premature Ejaculation Diagnostic Tool scores by four to five points. Across 29 studies of GPPPD, PFMT with or without manual therapy reduced pain by 2.4\u202fcm on a 10\u2011cm visual\u2011analogue scale and, when combined with graded dilators for vaginismus, increased pain\u2011free penetration to 68\u202f% versus 45\u202f% with counselling alone. Five small trials in female orgasmic dysfunction showed modest but promising gains in orgasm and total Female Sexual Function Index scores, although overall certainty remains low. Digital adjuncts\u2014including wearable electromyography biofeedback, telerehabilitation and virtual\u2011reality\u2013guided training\u2014improved exercise adherence by 20\u202f\u2013\u202f30\u202f% and proved non\u2011inferior to in\u2011clinic PFMT in two trials. Collectively, the evidence supports PFP as an effective, durable and safe intervention across multiple sexual dysfunctions; priority areas include large multicentre trials, consensus outcome sets and optimisation of neuromodulation parameters to enhance reach and long\u2011term maintenance of treatment gains.<\/p>","DOI":"10.21203\/rs.3.rs-6593448\/v1","type":"posted-content","created":{"date-parts":[[2025,5,10]],"date-time":"2025-05-10T02:10:16Z","timestamp":1746843016000},"source":"Crossref","is-referenced-by-count":0,"title":["Physiotherapy in the Treatment of Sexual Dysfunctions: Current Evidence and Emerging Trends"],"prefix":"10.21203","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5652-1652","authenticated-orcid":false,"given":"Marek","family":"Broul","sequence":"first","affiliation":[{"name":"Krajsk\u00e1 zdravotn\u00ed a.s, Masarykova nemocnice v \u00dast\u00ed nad Labem o.z."}]},{"given":"Aneta","family":"Hujov\u00e1","sequence":"additional","affiliation":[{"name":"Krajsk\u00e1 zdravotn\u00ed a.s, Masarykova nemocnice v \u00dast\u00ed nad Labem o.z."}]},{"given":"Michaela","family":"Liegertov\u00e1","sequence":"additional","affiliation":[]},{"given":"Jaroslava","family":"Ban\u00fdrov\u00e1","sequence":"additional","affiliation":[]},{"given":"Michal","family":"Vostr\u00fd","sequence":"additional","affiliation":[]}],"member":"297","reference":[{"issue":"1","key":"ref1","doi-asserted-by":"publisher","first-page":"54","DOI":"10.1016\/S0022-5347(17)34871-1","article-title":"Impotence and its medical and psychosocial correlates: results of the Massachusetts Male Aging Study","volume":"151","author":"Feldman HA","year":"1994","unstructured":"Feldman HA, Goldstein I, Hatzichristou DG, Krane RJ, McKinlay JB. 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