The Effects of Kegel Pelvic Floor Muscle Exercises on Urinary Retention and Comfort Levels
NCT ID: NCT06578221
Last Updated: 2024-08-29
Study Results
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Basic Information
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ENROLLING_BY_INVITATION
NA
58 participants
INTERVENTIONAL
2024-08-14
2024-12-01
Brief Summary
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Detailed Description
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Studies in the literature report that transient postoperative urinary retention is common after cervical and lumbar spine surgery procedures. This situation is of great importance in terms of healthcare services, as it can increase both the length of hospital stay and the cost.
Kegel pelvic floor muscle exercises involve the repeated contraction and relaxation of the muscles that form part of the pelvic floor. With these exercises, pelvic floor blood circulation can be increased, pelvic floor muscle tension can be increased, and the contraction of the relaxed bladder can be stimulated indirectly by repeated contraction and relaxation of the pelvic floor muscles, and urine output can be achieved. Therefore, we think that these exercises, which are safe, cost-effective exercises that can be easily applied by healthcare personnel, and patient comfort among nursing practices to improve perioperative results and functional status, will have an effect in preventing urinary retention.
There are no experimental studies in the literature evaluating the effect of Kegel exercises applied after lumbar disc herniation surgery on urinary retention. Therefore, this study was planned to be conducted in patients who will undergo lumbar disc herniation surgery.
This study was planned as a single-center prospective randomized controlled experimental study. After obtaining verbal and written consent from the patients before surgery, the study will be conducted with various data collection forms.
These forms; Patient Information Form, Postoperative Data Collection Form, Numeric Rating Scale (NRS) to determine the pain level of the patients and Visual Analog Scale (VAS) to evaluate the comfort level. Patients will be randomized. Group I will be the Kegel pelvic floor muscle exercise group (n=29), Group II will be the control group (n=29). It is planned to measure the urinary retention and comfort levels of both groups in the postoperative period.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
PREVENTION
NONE
Study Groups
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Kegel Pelvic Floor Muscle Exercise Group
Kegel exercises will be performed by the researcher within the first 8 hours after being taken to the clinic room to perform the Kegel pelvic floor muscle exercises while in the supine position. Urinary retention and comfort level of patients will be evaluated after surgery.
Kegel Pelvic Floor Muscle Exercise Group
After the surgery, the patients will be taken to the clinic room in a supine position and the researcher will perform the Kegel pelvic floor muscle exercises three times at the 1st, 4th and 7th hours within the first 8 hours after the patients are taken to the clinic room.
Control Group
Urinary retention and comfort level of patients will be evaluated after surgery.
No interventions assigned to this group
Interventions
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Kegel Pelvic Floor Muscle Exercise Group
After the surgery, the patients will be taken to the clinic room in a supine position and the researcher will perform the Kegel pelvic floor muscle exercises three times at the 1st, 4th and 7th hours within the first 8 hours after the patients are taken to the clinic room.
Eligibility Criteria
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Inclusion Criteria
* Over 18 years of age
* No communication barrier
* Having undergone lumbar disc herniation surgery under general anesthesia
* Being immobile for the first 8 hours postoperatively
* Not having a urinary catheter inserted during the intraoperative period
Exclusion Criteria
* Previous urinary disorders/symptoms (such as Benign Prostatic Hyperplasia)
* Spinal trauma, preoperative neurological disorder
* Patients with preoperative catheterization
18 Years
ALL
Yes
Sponsors
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Saglik Bilimleri Universitesi
OTHER
Responsible Party
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Büşra Demirci
Principal İnvestigator
Locations
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Büşra Demirci
Ankara, University of Health Sciences, Turkey (Türkiye)
Countries
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References
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Pomajzl AJ, Siref LE. Postoperative Urinary Retention. 2023 Jul 4. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from http://www.ncbi.nlm.nih.gov/books/NBK549844/
Wang R, Tunitsky-Bitton E. Short-term catheter management options for urinary retention following pelvic surgery: a cost analysis. Am J Obstet Gynecol. 2022 Jan;226(1):102.e1-102.e9. doi: 10.1016/j.ajog.2021.07.025. Epub 2021 Aug 5.
Altschul D, Kobets A, Nakhla J, Jada A, Nasser R, Kinon MD, Yassari R, Houten J. Postoperative urinary retention in patients undergoing elective spinal surgery. J Neurosurg Spine. 2017 Feb;26(2):229-234. doi: 10.3171/2016.8.SPINE151371. Epub 2016 Oct 21.
Aiyer SN, Kumar A, Shetty AP, Kanna RM, Rajasekaran S. Factors Influencing Postoperative Urinary Retention Following Elective Posterior Lumbar Spine Surgery: A Prospective Study. Asian Spine J. 2018 Dec;12(6):1100-1105. doi: 10.31616/asj.2018.12.6.1100. Epub 2018 Oct 16.
Boulis NM, Mian FS, Rodriguez D, Cho E, Hoff JT. Urinary retention following routine neurosurgical spine procedures. Surg Neurol. 2001 Jan;55(1):23-7; discussion 27-8. doi: 10.1016/s0090-3019(01)00331-7.
Boonstra AM, Schiphorst Preuper HR, Reneman MF, Posthumus JB, Stewart RE. Reliability and validity of the visual analogue scale for disability in patients with chronic musculoskeletal pain. Int J Rehabil Res. 2008 Jun;31(2):165-9. doi: 10.1097/MRR.0b013e3282fc0f93.
Other Identifiers
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15151515
Identifier Type: -
Identifier Source: org_study_id
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