Effect of Anal Lift Exercise on Rehabilitation After Anal Fistula Surgery

NCT ID: NCT07250711

Last Updated: 2025-11-26

Basic Information

• Recruitment Status: NOT_YET_RECRUITING
• Clinical Phase: NA
• Total Enrollment: 124 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2025-12-20
• Study Completion Date: 2025-12-30

Brief Summary

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.

Conditions

Kegel Exercises

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Observation group

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

Group Type: NO_INTERVENTION

No interventions assigned to this group

Control group

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

Group Type: EXPERIMENTAL

Kegel exercises

Intervention Type: PROCEDURE

The patient carried out pelvic floor elevation exercises after the surgery, aiming to accelerate the recovery process and alleviate the pain.

Interventions

Kegel exercises

The patient carried out pelvic floor elevation exercises after the surgery, aiming to accelerate the recovery process and alleviate the pain.

Intervention Type: PROCEDURE

Eligibility Criteria

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

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 55 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

The Affiliated Hospital of Putian University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Other Identifiers

PutianU-007

Identifier Type: -

Identifier Source: org_study_id