Improving recovery after surgery for benign anorectal conditions
Effect of Enhanced Recovery After Surgery in Reducing the Incidence of Postoperative Urinary Retention After Surgery for Benign Anorectal Conditions: a Randomized Controlled Trial
This study is testing if a special recovery plan can help people aged 18 to 65 have fewer problems with urinary retention after surgery for conditions like hemorrhoids and anal fissures.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 100 (estimated) |
| Ages | 18 Years to 65 Years |
| Sex | All |
| Sponsor | Mansoura University Academic / other |
| Locations | 1 site (Al Mansurah) |
| Trial ID | NCT06803550 on ClinicalTrials.gov |
What this trial studies
This study evaluates the effectiveness of the Enhanced Recovery After Surgery (ERAS) protocol in reducing postoperative urinary retention following surgeries for benign anorectal conditions such as anal fissures, hemorrhoids, and anal fistulas. Patients aged 18 to 65 will be randomly assigned to either the ERAS pathway, which follows a structured set of 14 guidelines, or a routine care pathway. The primary outcome measured will be the incidence of urinary retention 72 hours post-surgery, with follow-up assessments conducted over a 30-day period. The study aims to provide insights into optimizing postoperative recovery for these conditions.
Who should consider this trial
Good fit: Ideal candidates are adults aged 18 to 65 with benign anorectal conditions such as chronic anal fissures, hemorrhoids, or anal fistulas.
Not a fit: Patients outside the age range of 18 to 65, those with specific urological conditions or procedures, and pregnant women may not benefit from this study.
Why it matters
Potential benefit: If successful, this approach could significantly reduce urinary retention complications after surgery, leading to improved recovery experiences for patients.
How similar studies have performed: Previous studies utilizing ERAS protocols have shown promising results in various surgical fields, suggesting potential success for this approach in anorectal surgeries.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * both sexes * aged between 18 and 65 years old * presented with benign anorectal conditions including chronic anal fissure, hemorrhoids, and fistula-in-ano will be eligible for the study Exclusion Criteria: * younger than 18 * older than 65 years old * pregnant female * history of relevant urological diagnosis (benign prostatic hyperplasia/prostate cancer/urethral stricture/bladder neck stenosis/detrusor underactivity/detrusor overactivity) * history of relevant urological procedure (radical prostatectomy/ transurethral prostatectomy/bladder neck or urethral surgery/pelvic radiotherapy) * use of permanent urinary catheter * intraoperative urological procedures * with any form of urinary diversion * severe cognitive impairment * who undergo other anorectal procedures
Where this trial is running
Al Mansurah
- Mansoura University Hospital — Al Mansurah, Egypt (Recruiting)
Study contacts
- Principal investigator: Mostafa Shalaby, MD, PhD — Mansoura University
- Study coordinator: Mostafa Shalaby, MD, PhD
- Email: mostafashalaby@mans.edu.eg
- Phone: 00201020555605
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.