Dysfunction of stool and urine
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: (1) Aged 60 and above; (2) Healthy and free of serious diseases, such as malignant tumors, hemodialysis, lymphoma and other diseases that affect survival time; (3) Normal mobility, using the Barthel index, Patients with a score of 100 were included in this study; (4) Normal Cognitive ability, according to Montreal Cognitive Assessment-BJ (MoCA-BJ) Assessment, patients with literacy level above 20, primary school literacy level above 24, and junior high school and above literacy level above 27 were included in this study. (5) The daily excretion patterns of urine and feces, such as frequency and characteristics, are basically normal; (6) Pelvic floor function is normal, and females were included in this study through the Pelvic Floor Dysfunction Questionnaire. Participants with a score of less than 75 were included in this study, and the severity of each item in the final questionnaire should not exceed the level of "symptomatic but not life-threatening"; This study used the International Counseling on Urinary Incontinence (ICIQ-MLUTS) modular questionnaire for male lower urinary tract symptoms and the Cleveland Clinic Florida Fecal Incontinence Scale (CCFIS) to evaluate male participants. The study included participants who scored 0 on the ICIQ-MLUTS questionnaire and below 9 on the CCFIS questionnaire; (7) Able to communicate normally; (8) Volunteer to participate in this study.
Exclusion criteria
Exclusion criteria: (1) Previous history of any type of urinary incontinence, fecal incontinence, urinary retention, chronic constipation, prolapse of important pelvic organs and other related diseases; (2) Physical therapy or surgery for urinary incontinence, pelvic organ prolapse in the past 1 year; (3) Use of urinary incontinence or drugs that affect skeletal muscle in the past year; (4) Taking hormone replacement therapy in the past 6 months; (5) any stool, mucus leakage, active urethral or vaginal infection in the past 3 months; (6) BMI > 35; (7) suffering from mental illness; (8) There are contraindications for MRI and CT examination, such as intrauterine contraceptive ring, cardiac pacemaker placement, claustrophobic patients; (9) History of abdominal and pelvic surgery, pelvic mass, and pelvic floor malformations; (10) CT showed that the pelvic structure was incomplete, with fractures, osteoporosis, tumors, tuberculosis, rheumatism, misshapidity and other lesions; (11) Diseases or injuries of the nervous system and spinal cord; (12) urethral obstruction, stricture, stone; (13) Ask about the history of chronic cough, neuromuscular disease, long-term weight-bearing work history; (14) Any other comorbidities or risk factors that interfere with the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Posterior horn of bladder and urethra;ARA, anorectad angulation; | — |
Countries
China
Contacts
School of Nursing, Capital Medical University; Xuanwu Hospital, Capital Medical University