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Effect of Kegel Pelvic Floor Muscle Exercise on Improving Urinary Disorder in Rectum Cancer Patients After Rectal Surgery: A Randomized Clinical Trial Publisher Pubmed



Shahabadi ME1, 2, 3 ; Pak H1, 2, 4 ; Kazemeini A1, 2 ; Najari D2, 5 ; Tafti SMA1, 2 ; Keramati MR1, 2 ; Keshvari A1, 2 ; Fazeli MS1, 2 ; Behboudi B1, 2
Authors
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Authors Affiliations
  1. 1. Division of Colorectal Surgery, Department of Surgery, Imam-Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Colorectal Research Center, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Department of Surgery, Afzalipour Hospital, Kerman University of Medical Sciences, Kerman, Iran
  4. 4. Department of Surgery, Alborz University of Medical Sciences, Karaj, Iran
  5. 5. School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Source: International Journal of Colorectal Disease Published:2024


Abstract

Introduction: Postoperative urinary dysfunction poses a significant challenge for rectal cancer patients. While pelvic floor muscle training (PFMT) has shown promise in other contexts, its efficacy following rectal cancer surgery remains uncertain. Results: A clinical trial involving 79 rectal cancer patients found that initiating Kegel exercises post-surgery led to significant improvements in urinary symptoms compared to standard care. Adherence to exercises correlated with symptom reduction, with no reported adverse events. We have defined the main outcome of our study as the improvement in urinary function scores post-surgery. Effectiveness is considered as any statistically significant improvement in these scores. Conclusion: Early initiation of Kegel exercises shows promise in alleviating postoperative urinary dysfunction in rectal cancer patients. Further research is needed to optimize postoperative care protocols and enhance patient outcomes. © The Author(s) 2024.