Effect of Anal Lift Exercise on Rehabilitation After Anal Fistula Surgery

NCT07250711 | Not Yet Recruiting DMC

• 1 other identifier: PutianU-007
• Study Type: interventional
• Target: 124
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Kegel Exercises

Keywords

anal fistula; Kegel Exercise

Outcome Measures

Primary Outcomes (3)

• 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.

  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.

  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.

  Day 1, 2, 3, 4, 5

Secondary Outcomes (2)

• Compare the defecation situation of the patients.

  Within 30 days postoperatively

• Length of hospital stay

  Daily from Day 1 (max 60 days post-op)

Study Arms (2)

Observation group

NO INTERVENTION

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

Control group

EXPERIMENTAL

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

Procedure: Kegel exercises

Interventions

Kegel exercises PROCEDURE

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

Control group

Eligibility Criteria

• Age: 18 Years - 55 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Aged between 18 and 55 years old
• Patients diagnosed with anal fistula through digital rectal examination and anoscopy
• Receive operation

You may not qualify if:

• 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

Sponsors & Collaborators

• The Affiliated Hospital of Putian University: lead

Study Sites (1)

Putian Universoty

Putian, Fujian, 351100, China

Location

MeSH Terms

Conditions

Rectal Fistula

Condition Hierarchy (Ancestors)

Intestinal Fistula; Digestive System Fistula; Digestive System Diseases; Intestinal Diseases; Gastrointestinal Diseases; Rectal Diseases; Fistula; Pathological Conditions, Anatomical; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: September 18, 2025
• First Posted: November 26, 2025
• Study Start (Estimated): June 20, 2026
• Primary Completion (Estimated): June 30, 2026
• Study Completion (Estimated): June 30, 2026
• Last Updated: April 17, 2026

Record last verified: 2026-04

Locations

CN (1)