Abstract
Erectile dysfunction (ED) was the major men's health topic browsed by the public over the past 5 years in the United States. Globally, there might be a rise of 320 million cases by the year 2025. Adhering to regular physical activities along with a healthy diet is recommended for improving ED. Several studies highlight the positive effects of exercise interventions in improving erectile function. Exercising inside the water offers a pleasant sensation to the participants and the physical principles of water help to achieve the desired effect. The major aim of this study is to investigate the effect of various types of physical exercises among ED and to recommend aquatic exercises as a novel approach to manage ED. A relevant meta-analysis, systematic reviews, randomized clinical trials, and national and international guidelines were searched in the PubMed, PEDro, Scopus, and Cochrane databases. The literature review of randomized studies strongly recommends aerobic exercises for arteriogenic ED. Among the various types of exercise interventions, swimming and aquatic exercise have advantageous physiological and therapeutic changes to tackle the vascular and psychological causes of ED. The multifold advantages of aquatic exercises entitle it to an interesting and effective treatment approach to manage patients with ED. Aquatic exercises can be used as an adjunct to treat ED. Regular exercise training helps to overcome the risk of ED and supports to achieve high quality of life.