An interventional study of Enhanced recovery after surgery protocol and Routine pathway in Anal Fistula, Anal Fissure Chronic and Haemorrhoid, sponsored by Mansoura University. Recruiting at 1 site in Egypt. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2025-02-03.
Sponsored by Mansoura University · Not applicable, Interventional, and Prevention
Among 11 studies in Rectal Fistula by Mansoura University — 1 open to participants now, 1 under way, none of them phase 3. Rectal Fistula · Mansoura University.
Among the 11 studies in Rectal Fistula by Mansoura University, this one is the 2nd largest by planned enrollment, is the only one that started in 2024, is one of 11 with no phase, and was the 10th registered.
169 studies on the registry are indexed under Rectal Fistula; 45 are open to participants now.
This study's planned enrollment of 100 is above the median of 66 across 115 interventional studies indexed under Rectal Fistula.
Browse Rectal Fistula studies →1 of the 11 studies in Rectal Fistula by Mansoura University is open now, in 1 country. Each count lists the studies.
Of the 26 Rectal Fistula studies recruiting now, 18 (69%) set no upper age limit and 7 (27%) stop at 75 or younger; 2 take children under 18; 1 take healthy volunteers.
This study: 18 Years to 65 Years · all sexes · no healthy volunteers.
The full table on the hub →11 studies; the count open now beside each. This study's row is marked.
First in 2005; this study’s year is marked. 1 started in 2024.
Median enrollment 66 across the 11 interventional studies. Of the 6 that completed or were terminated, 0 (0%) have results posted.
Mansoura University is the lead sponsor of 1,119 studies on the registry; 183 are open to participants now.
Of its 9 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.
None of the studies under way reaches primary completion within a year.
Among the 11 studies in Rectal Fistula by Mansoura University, from their registry updates:
Nothing recorded among them since 2026-09-25.
This study aims to assess the role of Enhanced recovery after surgery(ERAS) protocol in reducing postoperative urine retention (POUR) after surgery for benign anorectal conditions.
This study aims to assess the role of Enhanced recovery after surgery(ERAS) protocol in reducing postoperative urine retention (POUR) after surgery for benign anorectal conditions.
Patients of both sexes aged between 18 and 90 years old presented; with benign anorectal conditions including chronic anal fissure, hemorrhoids, and fistula-in-ano will be eligible for the study.
Eligible patients will be randomized in equal proportions to RRAS or ROUTINE pathways. The ERAS pathway was developed based on the available guidelines and protocols it includes 14 items.
Patients allocated to ERAS pathway must fulfill all the 14 items. The ROUTINE pathway will represent the routine practice which may include certain ERAS items or those who will not fulfill the 14 items.
For the end points of the study, all patients will be followed-up by a phone call 72 hours postoperatively then in the outpatients' department for a period of a total of 30 days postoperatively. However, patients will be advised to visit the outpatients' department at any other time during the trial if they developed any unfavorable event.
The primary outcome will be the 72-hours postoperative urinary retention after anorectal surgery.
Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.
Exclusion Criteria:
ERAS pathway was developed based on the available guidelines and protocols it includes 14 items
Other: Enhanced recovery after surgery protocol
This is the routine preoperative preparation
Other: Routine pathway
ERAS pathway was developed based on the available guidelines and protocols it includes 14 items: 1. Preoperative patient education using an information sheet which includes instructions on postoperative wound care, pain management, and preventing and managing constipation. 2. Single preoperative enema 2 hours prior to surgery. 3. Solid or semisolid food stopped 6 hours before surgery. 4. Clear liquids may be continued up to 2 hours before surgery. 5. Preoperative carbohydrate loading in non-diabetic patients for up to 2 hours prior to surgery in the form of a single 330 ml high-carbohydrate clear drink (apple juice). 6. Saddle anesthesia. 7. Single dose of intravenous 500 mg metronidazole at the time of the anaesthesi induction. 8. Restriction of intraoperative intravenous fluids to less than 500 ml. 9. Balanced chloride-restricted crystalloid solutions should be used for maintenance infusions and fluid boluses. 10. A bundle measures to reduce surgical site infection which includes
This is the routine preoperative preparation at our institute
72-hours postoperative urinary retention after anorectal surgery
the inability to void, with the patient needing bladder decompression by catheterization as determined by the treating clinician within 1 week of surgery
Time frame: 72 hours after surgery
Plan to share: No
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