Laser vs. scalpel: which heals anal fistula faster?
NCT ID NCT07681531
First seen Jul 02, 2026 · Last updated Jul 02, 2026
Summary
This study compares two ways to treat uncomplicated perianal fistula: conventional open surgery (fistulectomy) and a newer laser ablation technique. About 72 adults with a single, simple fistula tract will be randomly assigned to one of the two procedures. Researchers will track how quickly each group returns to normal activities and whether the fistula comes back within six months.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Laser ablation
- What this could lead to
- If laser ablation works better, patients may recover faster and have a lower chance of the fistula coming back.
- What could go wrong
- This is a small, early-stage trial with only 72 people, so results may not apply to everyone. Laser ablation is still being tested and might not be better than standard surgery.
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
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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
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About 72 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Jul 2026
An estimate. Start dates often move.
- Expected to finish
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Mar 2027
An estimate. End dates often move.
- Lead sponsor
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A government agency
The lead sponsor is a government body.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 55 years
- Sex
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Anyone
- Healthy volunteers
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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 to 55 years. * Male and female patients. * Scheduled for surgical treatment of uncomplicated perianal fistula. * Single fistula tract. * Less than 30% involvement of the external anal sphincter. * Penetration of tract limited to subcutaneous tissue. Exclusion Criteria: * Recurrent fistula. * Complex fistula. * History of gut malignancy. * History of inflammatory bowel disease. * Patients unfit for anesthesia.
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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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.
Contacts and locations
Locations
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PNS Hafeez Naval Hospital
Islamabad, 44400, Pakistan
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Laser and the Body's own healing factors tested against stubborn anal fistulas
- Could emptying the bowel before laser surgery boost fistula healing?
- Can a laser seal fistulas without major surgery?
- Can a drug plus surgery heal Crohn's fistulas for good?
- Can stem cell vesicles heal Crohn's fistulas?
- Antibiotics after abscess drainage may block painful fistula formation