The Effect of Kegel Pelvic Floor Muscle Exercises on Urinary Retention, Pain, and Comfort Levels in Patients After Lumbar Disc Herniation Surgery: A Randomized Controlled Clinical Trial

NCT06578221 | Completed

• 1 other identifier: 15151515
• Study Type: interventional
• Target: 58
• Locations: 1 country
• Sites: 1

Brief Summary

This study was planned as a randomized controlled trial to investigate the effects of Kegel pelvic floor muscle exercises on urinary retention and comfort levels of patients after lumbar disc herniation surgery.

Conditions

Nurses; Comfort; Surgery

Keywords

Nurses; İntervertebral Disc; Comfort; Patient Urinary Retention; Surgery

Outcome Measures

Primary Outcomes (1)

• Effect of Kegel pelvic floor muscle exercises on urinary retention of patients after lumbar disc herniation surgery.

  Kegel pelvic floor muscle exercises will affect the urinary retention of patients after lumbar disc herniation surgery. Urinary retention will be evaluated using the Postoperative Data Collection Form developed by the researchers based on the literature. This form includes items assessing signs and symptoms of urinary retention within the first 8 hours postoperatively, such as pressure in the lower abdomen, pain in the lower abdomen, feeling of restlessness, and desire to urinate within 8 hours. Each symptom is assessed separately using the Visual Analog Scale (VAS).

  After completing Kegel pelvic floor muscle exercises in the first 8 hours after surgery.

Secondary Outcomes (1)

• Effect of Kegel pelvic floor muscle exercises on comfort level after lumbar disc herniation surgery

  After completing Kegel pelvic floor muscle exercises in the first 8 hours after surgery.

Study Arms (2)

Kegel Pelvic Floor Muscle Exercise Group

EXPERIMENTAL

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.

Other: Kegel Pelvic Floor Muscle Exercise Group

Control Group

NO INTERVENTION

Urinary retention and comfort level of patients will be evaluated after surgery.

Interventions

Kegel Pelvic Floor Muscle Exercise Group OTHER

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.

Kegel Pelvic Floor Muscle Exercise Group

Eligibility Criteria

• Age: 18 Years+
• Gender Eligibility Details: Having had surgery for lumbar disc herniation
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Agreeing to participate in the study
• 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

You may not qualify if:

• Refusal to participate in the study
• Previous urinary disorders/symptoms (such as Benign Prostatic Hyperplasia)
• Spinal trauma, preoperative neurological disorder
• Patients with preoperative catheterization

Sponsors & Collaborators

• Saglik Bilimleri Universitesi: lead

Study Sites (1)

Büşra Demirci

Ankara, University of Health Sciences, Turkey (Türkiye)

Location

Related Publications (6)

• Huang BY, Leslie SW. Postoperative Urinary Retention. 2026 Feb 15. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2026 Jan-. Available from http://www.ncbi.nlm.nih.gov/books/NBK549844/

  PMID: 31751034 BACKGROUND

• 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.

  PMID: 34363780 BACKGROUND

• 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.

  PMID: 27767680 BACKGROUND

• 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.

  PMID: 30322244 BACKGROUND

• 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.

  PMID: 11248301 BACKGROUND

• 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.

  PMID: 18467932 BACKGROUND

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal İnvestigator

Study Record Dates

• First Submitted: August 14, 2024
• First Posted: August 29, 2024
• Study Start: August 14, 2024
• Primary Completion: April 22, 2026
• Study Completion: April 22, 2026
• Last Updated: April 28, 2026

Record last verified: 2026-04

Locations

TU (1)