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

NCT ID: NCT07075692

Last Updated: 2025-07-20

Basic Information

• Recruitment Status: NOT_YET_RECRUITING
• Clinical Phase: NA
• Total Enrollment: 20 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2025-07-20
• Study Completion Date: 2025-12-20

Brief Summary

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

Detailed 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.

Conditions

Anorectal Diseases

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Physiotherapy group

Physiotherapy program will be performed

Group Type: EXPERIMENTAL

Physiotherapy

Intervention Type: OTHER

Physiotherapy program will include patient education, lifestyle recommendations (fluid intake, diet, correct urination/defecation position, weight control, etc.), breathing exercises, pelvic floor muscle training, and stabilization exercises. The treatment program will last for a total of 8 weeks

Interventions

Physiotherapy

Physiotherapy program will include patient education, lifestyle recommendations (fluid intake, diet, correct urination/defecation position, weight control, etc.), breathing exercises, pelvic floor muscle training, and stabilization exercises. The treatment program will last for a total of 8 weeks

Intervention Type: OTHER

Eligibility Criteria

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

• Minimum Eligible Age: 5 Years
• Maximum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Ankara Yildirim Beyazıt University

OTHER

Sponsor Role: lead

Responsible Party

seyda toprak celenay

Professor

Responsibility Role: PRINCIPAL_INVESTIGATOR

Central Contacts

Seyda Toprak Celenay

Role: CONTACT

sydtoprak@hotmail.com

+90 312 906 1000

Other Identifiers

1328

Identifier Type: -

Identifier Source: org_study_id