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Anal fistula surgery showdown: which technique spares continence?

NCT ID NCT07579715

Disease control Sponsor: Islamabad Medical and Dental College Source: ClinicalTrials.gov ↗

What the study statuses mean

This study's is highlighted.

Recruitment status, easiest to join first

Recruiting now
This trial is taking on new participants right now.
Not yet recruiting
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing
Running, but no longer taking on new participants.
Completed This study
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time

Summary

This study compared two common surgeries for perianal fistula—a painful tunnel near the anus. One hundred adults were split into two groups: one received the LIFT procedure (which aims to preserve muscle control) and the other received fistulotomy with a seton (a thread placed in the tunnel). Researchers measured healing time, recurrence, pain, and whether patients kept normal bowel control. The goal is to find which approach offers better recovery and fewer complications.

What this could mean

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

Active substance
surgical procedure (LIFT or fistulotomy with seton)
What this could lead to
If this study shows clear advantages, it could help surgeons choose the best technique to reduce recurrence and preserve bowel control for patients with anal fistula.
What could go wrong
This is a small, completed comparative study, not a large randomized trial. Results may not apply to all fistula types or patients with other health conditions.

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.

Phase

Not a phased trial

Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.

Participants

100 people

The number who actually took part.

Started

Jan 2026

Finished

May 2026

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.

Ages

18 to 65 years

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

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria: * Patients aged 18-65 years, both males and females * Diagnosed with primary cryptoglandular perianal fistula * Trans-sphincteric or inter-sphincteric fistula confirmed clinically ± imaging/proctoscopy * Fit for surgery under anesthesia * Willing to provide written informed consent Exclusion Criteria: * Recurrent perianal fistula (previous surgical intervention) * Fistula secondary to Crohn's disease, tuberculosis, or malignancy Immunocompromised patients * Pre-existing fecal incontinence (documented) * Severe comorbidities making surgery unsafe (e.g., uncontrolled diabetes, severe hepatic/renal failure) * Pregnancy

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Conditions

The condition(s) this trial relates to.

anal fistula

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Anal fistula Fistula in ano Perianal fistula

Contacts and locations

Locations

  • Akbar Niazi Teaching Hospital, Islamabad Medical and Dental College

    Islamabad, 44000, Pakistan

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