Actively Recruiting
Pelvic Floor Exercises for Suboptimal Anorectal Manometry
Led by King's College Hospital NHS Trust · Updated on 2025-07-14
50
Participants Needed
1
Research Sites
117 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Currently, guidelines from the Royal College of Obstetricians and Gynaecologists stipulate that all women who have sustained an obstetric anal sphincter injury in a previous pregnancy and who are symptomatic or have abnormal endoanal ultrasonography and/ or manometry should be counselled regarding the option of an elective Caesarean section. An abnormal endoanal ultrasonography is currently considered to be a defect of the external anal sphincter (EAS) of more than 30 degrees while an abnormal anorectal manometry would be an incremental squeeze pressure of less than 20mmHg. This study aims to evaluate if a course of guided pelvic floor exercises could improve anal sphincter function on those with suboptimal or abnormal anal incremental squeeze pressures, and subsequently expand their options for future modes of delivery (vaginal delivery not contraindicated)
CONDITIONS
Official Title
Pelvic Floor Exercises for Suboptimal Anorectal Manometry
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Female patients who have had an obstetric anal sphincter injury during their most recent delivery
- At least 6 weeks postpartum
- Have not received guided pelvic floor exercises from a licensed women's health physiotherapist postpartum
- Able to speak, read, and write English or have a professional interpreter during appointments
- Capable of understanding and signing informed consent after discussion of risks and benefits
- Willing and able to complete questionnaires and comply with clinic visits and manometry studies
You will not qualify if you...
- Sustained an obstetric anal sphincter injury more than a year ago
- Had another vaginal delivery after sustaining an obstetric anal sphincter injury
- Have anal pain preventing anorectal examination
- Have neurological or musculoskeletal disorders that prevent pelvic floor muscle exercises
- Are younger than 18 years old
- Currently pregnant
- Unable to comply with pelvic floor muscle exercises
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Trial Site Locations
Total: 1 location
1
Kings College Hospital
London, United Kingdom
Actively Recruiting
Research Team
K
Kar Yee Lor, MBChB
CONTACT
How is the study designed?
Study Type
OBSERVATIONAL
Masking
N/A
Allocation
N/A
Model
N/A
Primary Purpose
N/A
Number of Arms
1
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