Effect of Anal Lift Exercise on Rehabilitation After Anal Fistula Surgery

The Affiliated Hospital of Putian University

Status: Not yet enrolling

Conditions: Kegel Exercises

Treatments: Procedure: Kegel exercises

Study type: Interventional

Funder types: Other

Identifiers

NCT07250711

PutianU-007

Details and patient eligibility

About

Anorectal fistula refers to a granulomatous duct located around the rectum and anus. It is mostly caused by infection of the soft tissues surrounding the rectum and anus, and often presents with symptoms such as swelling, pain, and itching around the anus. This causes inconvenience to the patient's daily life. The ideal surgical treatment for anorectal fistula should eliminate sepsis and promote the healing of the duct, while preserving the sphincter and the defecation mechanism. Abbas mentioned the predictive factors for postoperative results of anorectal fistula. Some sinus tracts are relatively deep, the surgical scope is relatively large, the destruction of the rectal ring, which causes a significant feeling of anal distension, will affect the defecation function. After the operation, effective intervention measures should be taken to promote the patient's recovery. Kegel exercise, also known as pelvic floor exercise, is a regular upward lifting and contraction of the anus. It can promote peripheral blood circulation, relieve pain, improve the function of the anal sphincter, and also enhance the strength around the anus to prevent the occurrence of anal incontinence. It is mainly used for the treatment and improvement of anal diseases. When patients perform pelvic floor exercises, they should also pay attention to a light diet and avoid using spicy and irritating foods to avoid affecting the effect of the pelvic floor exercise. Combined with the new pain management concept of this department, for postoperative patients with anorectal fistula, pelvic floor exercise intervention is carried out for constipation and anal heaviness, and the efficacy is observed.

Enrollment: 124 estimated patients

Sex: All

Ages: 18 to 55 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Aged between 18 and 55 years old
• Patients diagnosed with anal fistula through digital rectal examination and anoscopy
• Receive operation

Exclusion criteria

• The patient has a mental disorder.
• Patients with hemorrhoids
• Anal fistula combined with perianal abscess
• Patients who are unable to cooperate with follow-up visits

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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124 participants in 2 patient groups

Observation group

No Intervention group

Description:

Explain the relevant postoperative precautions and instructions to the patients, and the observation group is allowed to perform random movements.

Control group

Experimental group

Description:

Explain the relevant postoperative precautions and instructions to the patients, and have the control group perform pelvic floor contraction exercises.

Treatment:

Procedure: Kegel exercises