Early Results of Transanal Opening of the Intersphincteric Space (TROPIS) Versus Coring Out Fistulectomy in Management of High Anal Fistulas: A Randomized Clinical Trial
Status: Recruiting
Location: See location...
Intervention Type: Procedure
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY
High anal fistulas represent a surgical challenge due to high recurrence rates and risk of postoperative fecal incontinence. Several sphincter-preserving techniques have been developed to address these issues. Coring Out fistulectomy is a traditional sphincter-saving approach, while Transanal Opening of the Intersphincteric Space (TROPIS) is a recently introduced technique with promising outcomes. This randomized clinical trial aims to compare the efficacy, safety, and patient outcomes of TROPIS versus coring out fistulectomy in the management of high complex anal fistulas.
Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:
• Patients with high anal fistula ( involving more than 1/3 of the sphincter complex), whether de novo or recurrent
Locations
Other Locations
Egypt
Faculty of medicine Cairo University
RECRUITING
Cairo
Contact Information
Primary
Ahmed Mohamed Abdelaal, Lecturer
drabdelaal90@gmail.com
+201118732767
Time Frame
Start Date: 2025-11-26
Estimated Completion Date: 2026-06-01
Participants
Target number of participants: 64
Treatments
Experimental: Transanal Opening of the Intersphincteric Space (TROPIS)
patient with high anal fistula will be treated with Transanal Opening of the Intersphincteric Space (TROPIS)
Active_comparator: Coring Out Fistulectomy
patient with high anal fistula will be treated with Coring Out Fistulectomy
Related Therapeutic Areas
Sponsors
Leads: Cairo University