Clinical trial NCT06578221: The Effects of Kegel Pelvic Floor Muscle Exercises on Urinary Retention and Comfort Levels
Official title: The Effects of Kegel Pelvic Floor Muscle Exercises on Urinary Retention and Comfort Level of Patients After Lumbar Disc Herniation Surgery: A Randomised Controlled Trial
Study type: INTERVENTIONAL
Overall status: ENROLLING_BY_INVITATION
Phase: NA
Conditions: Nurses
Comfort
Surgery
Keywords: Nurses
İntervertebral Disc
Comfort
Patient Urinary Retention
Surgery
Lead sponsor: Saglik Bilimleri Universitesi
Sponsor class: OTHER
First posted: 2024-08-29
Enrollment: 58
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

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.

Detailed description: Postoperative urinary retention is the inability to urinate despite having a full bladder after surgery. It is a relatively common complication of both outpatient and inpatient procedures. Most cases are transient and are managed by temporarily emptying the bladder with bladder catheterization.

Studies in the literature report that transient postoperative urinary retention is common after cervical and lumbar spine surgery procedures. This situation is of great importance in terms of healthcare services, as it can increase both the length of hospital stay and the cost.

Kegel pelvic floor muscle exercises involve the repeated contraction and relaxation of the muscles that form part of the pelvic floor. With these exercises, pelvic floor blood circulation can be increased, pelvic floor muscle tension can be increased, and the contraction of the relaxed bladder can be stimulated indirectly by repeated contraction and relaxation of the pelvic floor muscles, and urine output can be achieved. Therefore, we think that these exercises, which are safe, cost-effective exercises that can be easily applied by healthcare personnel, and patient comfort among nursing practices to improve perioperative results and functional status, will have an effect in preventing urinary retention.

There are no experimental studies in the literature evaluating the effect of Kegel exercises applied after lumbar disc herniation surgery on urinary retention. Therefore, this study was planned to be conducted in patients who will undergo lumbar disc herniation surgery.

This study was planned as a single-center prospective randomized controlled experimental study. After obtaining verbal and written consent from the patients before surgery, the study will be conducted with various data collection forms.

These forms; Patient Information Form, Postoperative Data Collection Form, Numeric Rating Scale (NRS) to determine the pain level of the patients and Visual Analog Scale (VAS) to evaluate the comfort level. Patients will be randomized. Group I will be the Kegel pelvic floor muscle exercise group (n=29), Group II will be the control group (n=29). It is planned to measure the urinary retention and comfort levels of both groups in the postoperative period.

Eligibility criteria: Inclusion Criteria:

* 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

Exclusion Criteria:

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

Primary outcomes:
measure: Effect of Kegel pelvic floor muscle exercises on urinary retention of patients after lumbar disc herniation surgery.
timeFrame: After completing Kegel pelvic floor muscle exercises in the first 8 hours after surgery.
Secondary outcomes:
measure: Effect of Kegel pelvic floor muscle exercises on comfort level after lumbar disc herniation surgery
timeFrame: After completing Kegel pelvic floor muscle exercises in the first 8 hours after surgery.
Other outcomes:
Locations:
city: Ankara
country: Turkey
facility: Büşra Demirci
state: University Of Health Sciences
Study officials:
References:
citation: Pomajzl AJ, Siref LE. Postoperative Urinary Retention. 2023 Jul 4. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from http://www.ncbi.nlm.nih.gov/books/NBK549844/
citation: 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.
citation: 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.
citation: 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.
citation: 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.
citation: 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.