TROPIS Versus Coring Out Fistulectomy in High Anal Fistula
ConditionHigh Anal Fistula
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorCairo University
About this trial
High anal fistulas represent a surgical challenge due to high recurrence rates and risk of postoperative fecal incontinence. Several sphincter-preserving techniques have been developed to address these issues. Coring Out fistulectomy is a traditional sphincter-saving approach, while Transanal Opening of the Intersphincteric Space (TROPIS) is a recently introduced technique with promising outcomes. This randomized clinical trial aims to compare the efficacy, safety, and patient outcomes of TROPIS versus coring out fistulectomy in the management of high complex anal fistulas.
Eligibility criteria
Qualifiers
Patients with high anal fistula ( involving more than 1/3 of the sphincter complex), whether de novo or recurrent
Disqualifiers
Patients with fistula secondary to malignancy, inflammatory bowel disease, trauma or radiation
Patients with Low anal fistula
Patient with preoperative fecal incontinence
Previous levator ani muscle injury
Trial design
Treatments tested in this trial
- Transanal opening of intersphincteric space (TROPIS)
- Coring Out Fistulectomy
Treatment groups
64 Participants
are divided into 2 treatment groupsSponsors and collaborators
Source ClinicalTrials.gov