Surgery vs. glue: which seals the deal for anal fistulas?
NCT ID NCT07744672
First seen Aug 04, 2026 · Last updated Aug 05, 2026 · Updated 1 time
Summary
This trial compares two procedures for treating a high transsphincteric perianal fistula, a tunnel that forms between the anal canal and the skin. One approach is a sphincter-preserving surgery called ligation of the intersphincteric fistula tract, which ties off the fistula. The other uses a medical glue (cyanoacrylate) to seal the tract. The study will enroll 60 adults with this condition to see which method leads to better healing, fewer recurrences, and preserved bowel control.
What this could mean
Our plain-language read of the trial. This is informational only — not medical advice or a prediction.
- Active substance
- Two surgical procedures: ligation of the intersphincteric fistula tract (a sphincter-preserving surgery) and cyanoacrylate glue (a medical adhesive instilled into the fistula tract to seal it).
- What this could lead to
- If one procedure proves more effective, it could become the preferred treatment for this type of anal fistula, offering better healing and fewer recurrences while preserving continence.
- What could go wrong
- This is a small trial (60 participants) and results may not apply to all patients. Both procedures carry risks like infection, recurrence, or changes in bowel control.
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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.
Contacts and locations
Locations
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Faculty of Medicine Ain Shams University
RECRUITINGCairo, Egypt