An interventional study of Kegel exercises in Kegel Exercises, sponsored by The Affiliated Hospital of Putian University. Not yet recruiting at 1 site in China. Open to participants aged 18 Years to 55 Years. Per ClinicalTrials.gov, last updated 2026-04-17.
Sponsored by The Affiliated Hospital of Putian University · Not applicable, Interventional, and Treatment
This prospective randomized controlled study aims to include patients who have undergone anal fistula surgery, to observe the impact of early postoperative pelvic floor muscle training combined with dietary intervention on postoperative pain, bleeding, anal distension and defecation function, with the goal of clarifying the value of early rehabilitation intervention in the recovery after anal fistula surgery, and providing a reference for optimizing postoperative management plans in clinical practice.
This study is a single-center prospective randomized controlled clinical trial, which plans to include 124 patients aged 18 to 75 years who are scheduled to undergo anal fistula surgery. They will be randomly assigned in a 1:1 ratio to the observation group and the control group. The control group will receive the conventional postoperative management plan, including dressing changes, anti-infection treatment, pain relief, and basic dietary guidance. The observation group, on the other hand, will, in addition to the above, undergo standardized pelvic floor muscle training and postoperative dietary control intervention from the day of surgery to the fifth postoperative day. The pain score, bleeding score, and anal distension and fullness score of the patients in both groups will be continuously collected on the first, second, third, fourth, and fifth postoperative days. At the same time, the related indicators of defecation will be observed and recorded. The aim is to systematically evaluate the clinical effect of early postoperative pelvic floor muscle training combined with dietary management on pain relief, bleeding control, improvement of anal distension and fullness, and recovery of defecation function in patients after anal fistula surgery, providing high-quality evidence-based basis for formulating more optimized and targeted early rehabilitation management plans after anal fistula surgery.
189 studies on the registry are indexed under Rectal Fistula; 42 are open to participants now.
This study's planned enrollment of 124 is above the median of 68 across 130 interventional studies indexed under Rectal Fistula.
Browse Rectal Fistula studies →The Affiliated Hospital of Putian University is the lead sponsor of 14 studies on the registry; 13 are open to participants now.
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Exclusion Criteria:
Explain the relevant postoperative precautions and instructions to the patients, and the observation group is allowed to perform random movements.
Explain the relevant postoperative precautions and instructions to the patients, and have the control group perform pelvic floor contraction exercises.
Procedure: Kegel exercises
The patient carried out pelvic floor elevation exercises after the surgery, aiming to accelerate the recovery process and alleviate the pain.
Record pain score
Assessment timepoints: At postoperative days 1, 2, 3, 4, 5.Pain: 0 points, no pain; 1 point, mild pain, tolerable; 2 points, obvious pain, requiring painkillers; 3 points, severe pain, requiring injection of painkillers.The higher the score, the more severe the anxiety.
Time frame: Day 1，2，3，4，5
Record the bleeding score.
Assessment timepoints: At postoperative days 1, 2, 3, 4, 5.Bleeding: 0 points, no bleeding; 1 point, a little blood in the stool; 2 points, more blood dripping from the stool, which can be relieved by hemostasis; 3 points, heavy bleeding, requiring suture and ligation for hemostasis.The higher the score, the more severe the anxiety.
Time frame: Day 1，2，3，4，5
Record the score of anal distension and fullness.
Assessment timepoints: At postoperative days 1, 2, 3, 4, 5.Anal distension: 0 points, none; 1 point, slight distension; 2 points, obvious distension, affecting movement; 3 points, severe distension, unbearable. The higher the score, the more severe the anxiety.
Time frame: Day 1, 2, 3, 4, 5
Compare the defecation situation of the patients.
Patients with anal fistula should start doing pelvic floor exercises and controlling their diet from the day of surgery until the fifth day. Observe the defecation situation.
Time frame: Within 30 days postoperatively
Length of hospital stay
Record the length of the patient's hospital stay and make a comparison
Time frame: Daily from Day 1 (max 60 days post-op)
This study is not yet recruiting, as verified in Apr 2026. You cannot join it, but the record below documents what was studied.
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The Affiliated Hospital of Putian University