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Abstract ED is defined as the consistent or recurrent inability to attain and/or maintain an erection sufficient for a satisfactory sexual intercourse (Caretta and Foresta, 2007). ED is correlated with age, in Egypt it has 26% prevalence at the age of 50 years, 49% prevalence at the age of 60 years and 52% prevalence at the age of 70 years or older (Seyam et al., 2003). ED can be classified as psychogenic, organic (vascular, diabetic, drug-induced, traumatic, neurogenic and hormonal) or mixed psychogenic and organic (Lue, 2000) and (Burnett, 2006). Vascular insufficiency especially venogenic ED is probably the most common cause of organic male ED (Kandeel et al., 2001). The pelvic floor and perineal muscles play a role in erection; it is involved in the enhancement of blood flow to the penis. The ICM facilitates and maintains erection as it compresses the crus penis and its contraction results in rise of the ICP well above the systolic pressure (Hassouna, 2001). The BSM assists in erection as the middle fibers compress the erectile tissue of the bulb of the penis and the anterior fibers compress the deep dorsal vein of the penis to prevent the outflow of blood from an engorged penis thereby maintaining an erection (Dorey et al., 2004). The reinforcement of the striated muscles of the penis achieved through physiotherapy may improve penile erection (Claes and Baert 1993). Physical therapy interventions are non-invasive alternative to surgery for the treatment of patients with venogenic ED and have a strong long-term effect on erectile ability (Ballard, 1997) and (Van Kampen et al., 2003). |