Comparison of the Effectiveness of Bladder Training and Pelvic Floor Muscle Exercises (Kegel Exercises) with Usual Care on Urinary Incontinence and Quality of Life in Men Candidates for Transurethral Resection of the Prostate (TURP)

To compare the effects of bladder training and Kegel exercises on urinary incontinence and quality of life in men undergoing transurethral resection of the prostate.

This is an open label, randomized, three arm parallel clinical trial on 90 participants. Simple individual randomization by drawing numbered lots without replacement will allocate 30 participants to each group. Trial phase is not applicable.

The study will be conducted at the Urology Clinic of Shahid Beheshti Educational Hospital in Hamadan. After eligibility assessment and written informed consent, participants will be randomly allocated to the three groups. No blinding will be performed.

Men aged 40 to 80 years who are candidates for transurethral resection of the prostate, have at least primary school education, and are willing to participate will be included; those with previous pelvic surgery, cognitive impairment, prior bladder or Kegel training, or urinary incontinence due to diabetes or urinary tract infection will not be included.

The bladder training group will receive usual care plus scheduled voiding, urgency control techniques, restriction of bladder irritant fluids, and urinary pattern recording. The Kegel group will receive usual care plus 40 pelvic floor muscle exercises daily. Both interventions will start one week before surgery and continue for eight weeks after surgery. The control group will receive usual care only.

Urinary incontinence severity; quality of life related to urinary symptoms.

Randomization in this study will be performed using simple randomization at the individual level. After selecting eligible participants and obtaining written informed consent, each participant will be assigned a number from 1 to 90. The assigned numbers will be placed in a bag, and participants will be randomly allocated without replacement into three groups of 30 participants: the bladder training group, the Kegel exercise group, and the control group. Stratified or cluster randomization will not be used in this study. The random sequence will be generated by a random drawing method. For allocation concealment, the assigned numbers will be kept in the bag until the final allocation, and each participant's group assignment will be determined only after confirmed enrollment in the study.

Due to maintaining participants' confidentiality and adhering to research ethics principles, individual participant data will not be publicly shared.

Final study report including study methods, data analysis, and overall results after completion of the study and publication of findings.

After completion of the study and publication of the research findings.

Researchers and eligible individuals whose requests for scientific use of the study documents are reviewed and approved.

The documents may only be used for scientific and research purposes while maintaining confidentiality and research ethics principles.

Requests should be submitted through correspondence with the principal investigator or Hamadan University of Medical Sciences.

Requests will be reviewed, and access will be provided when possible after approval of the scientific purpose and compliance with ethical requirements.

No further information is available.