Physiotherapy Applications in Children With Bladder and Bowel Symptoms After Anorectal Malformation Surgery

Ankara Yildirim Beyazıt University

Status: Not yet enrolling

Conditions: Anorectal Diseases

Treatments: Other: Physiotherapy

Study type: Interventional

Funder types: Other

Identifiers

NCT07075692

1328

Details and patient eligibility

About

The aim of our study was to investigate the effects of physiotherapy applications in children with bladder and bowel symptoms after anorectal malformation surgery.

Full description

Anorectal malformation (ARM) is a congenital anomaly in which the rectum and anus of the developing fetus fail to form normally before birth. The main treatment for ARM is surgery. However, various complications may occur in these children after surgery due to disruption of the muscular structure, nerve damage and weakness of the sphincters. These complications include fecal incontinence, chronic constipation, difficulty in defecation and abdominal pain. Constipation and fecal incontinence can be seen quite frequently in these individuals. Sometimes these symptoms may be accompanied by additional bladder problems (urinary incontinence etc.). Bowel training, dietary recommendations, toilet training, enemas, medications and physiotherapy applications can be used in the management of fecal incontinence and constipation. In the literature, there are limited number of studies evaluating physiotherapy applications in the management of postoperative bladder bowel symptoms in children with ARM.

Enrollment: 20 estimated patients

Sex: All

Ages: 5 to 18 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Children aged 5-18 years with bladder bowel symptoms after anorectal malformation surgery
• Volunteering to participate in the study

Exclusion criteria

• Presence of a congenital and/or chronic disease
• Having a history of any additional neurological, orthopedic or psychiatric disease that will affect the evaluation parameters
• Mental retardation
• Having received physiotherapy within the last 1 year

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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20 participants in 1 patient group

Physiotherapy group

Experimental group

Description:

Physiotherapy program will be performed

Treatment:

Other: Physiotherapy