Tiny trial aims to end repeat surgeries for kids with anal fistula

NCT ID NCT05666609

First seen Jun 26, 2026 · Last updated Jun 26, 2026

Summary

This study looks at how long a soft silicone loop (seton) should remain in the fistula tract to treat anal fistula in children aged 0-18. The loop is placed under anesthesia to drain infection and allow healing without cutting the muscle. The goal is to find the best timing to prevent the fistula from coming back or forming an abscess. Only 20 children will take part, and there is no comparison group, so results are preliminary.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance
non-cutting silicone seton (a soft loop placed through the fistula tract to drain infection and promote healing)
What this could lead to
If successful, this could establish a standard treatment duration for seton placement in children, reducing the chance of fistula recurrence and repeat surgeries.
What could go wrong
This is a very small early trial (20 children) with no comparison group, so results may not apply broadly. The seton procedure itself carries risks of infection or discomfort.

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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

  • Friedrich-Alexander-Universität Erlangen-Nürnberg, Pediatric Surgery

    RECRUITING

    Erlangen, Bavaria, 91054, Germany

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