Could emptying the bowel before laser surgery boost fistula healing?
NCT ID NCT07800065
First seen Sep 02, 2026 · Last updated Sep 03, 2026 · Updated 1 time
Summary
This trial tests whether preparing the bowel before fistula laser closure surgery helps the wound heal better. Anal fistulas are abnormal tunnels that can form near the anus, and laser closure is a technique to seal them while sparing the muscle. Researchers will compare two groups of 100 patients: one receives a standard bowel prep with a clear liquid diet and a laxative drink, and the other has no prep. The main goal is to see if more patients achieve complete healing at three months, with follow-up at six months to check for recurrence and quality of life.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Bowel preparation before fistula laser closure surgery, involving a clear liquid diet and polyethylene glycol solution
- What this could lead to
- If bowel preparation improves healing, it could become a standard step before fistula laser closure, reducing recurrence and the need for repeat surgery.
- What could go wrong
- This is a small, non-randomized study, so results may be influenced by patient differences. Bowel prep can cause discomfort, and some surgeons worry it might introduce contamination.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
-
About 100 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
-
Oct 2026
An estimate. Start dates often move.
- Expected to finish
-
Dec 2027
An estimate. End dates often move.
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Patients with anal fistula
- Ages
-
18 years and older
- Sex
-
Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age ≥18 years * Diagnosed cryptoglandular AF (simple or complex) * Scheduled for FiLaC procedure * Provided written informed consent Exclusion Criteria: * Fistula associated with Crohn's disease, tuberculosis, or malignancy * Signs of inflammation (presence of abscess) * Anovaginal fistulas * History of pelvic radiotherapy * Incomplete data or loss to follow-up prior to 6 months
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Anal fistula are added.
By submitting, you agree to our Terms of use
Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
-
The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
-
A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a laser seal fistulas without major surgery?
- Can stem cells harvested during surgery heal Crohn's fistulas?
- Antibiotics after abscess drainage may block painful fistula formation
- To prep or not to prep? trial tests bowel cleanout before colostomy reversal in kids
- Laser vs. scalpel: which heals anal fistula faster?
- Stem cell showdown: donor vs. your own fat for Crohn's fistulas