Actively Recruiting
Effect of Enhanced Recovery After Surgery in Reducing Postoperative Urinary Retention After Surgery for Benign Anorectal Conditions: a Randomized Controlled Trial
Led by Mansoura University · Updated on 2025-02-03
100
Participants Needed
1
Research Sites
8 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
This research aims to evaluate how the Enhanced Recovery After Surgery (ERAS) protocol affects the occurrence of postoperative urinary retention (POUR) in patients undergoing surgery for benign anorectal conditions such as chronic anal fissure, hemorrhoids, and fistula-in-ano. The study includes adult patients aged 18 to 90 years but focuses on those up to 65 years old. It compares the ERAS protocol with routine preoperative care to understand its role in reducing urinary retention after surgery. Participants will be randomly assigned to one of two groups: the ERAS pathway or the routine care pathway. The ERAS protocol includes 14 specific items based on existing guidelines, such as preoperative education, dietary restrictions before surgery, administration of saddle anesthesia, and controlled fluid management during surgery. The routine pathway represents standard preoperative procedures that may include some ERAS elements but do not require all 14 items to be followed. Throughout the study, all patients will be monitored by a phone call 72 hours after surgery and followed up in the outpatient department for 30 days. They will be advised to seek care at any time if they experience any complications. The primary measure of success is the incidence of urinary retention within 72 hours after anorectal surgery, with ongoing safety and recovery assessments during the follow-up period.
CONDITIONS
Brief Title
Effect of Enhanced Recovery After Surgery for Benign Anorectal Conditions
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Both sexes
- Aged between 18 and 65 years old
- Diagnosed with benign anorectal conditions including chronic anal fissure, hemorrhoids, or fistula-in-ano
You will not qualify if you...
- Younger than 18 years old
- Older than 65 years old
- Pregnant female
- History of relevant urological diagnoses such as benign prostatic hyperplasia, prostate cancer, urethral stricture, bladder neck stenosis, detrusor underactivity, or detrusor overactivity
- History of relevant urological procedures including radical prostatectomy, transurethral prostatectomy, bladder neck or urethral surgery, or pelvic radiotherapy
- Use of permanent urinary catheter
- Undergoing intraoperative urological procedures
- Having any form of urinary diversion
- Severe cognitive impairment
- Undergoing other anorectal procedures
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - Day of surgery
Participants undergo surgery for benign anorectal conditions using either the Enhanced Recovery After Surgery (ERAS) protocol or routine care.
1 visit (in-person)
Duration - 30 days postoperatively
Participants are followed up through phone and outpatient visits to monitor recovery and assess postoperative urinary retention and other outcomes.
1 phone call at 72 hours postoperatively and multiple outpatient visits during 30 days
Trial Site Locations
Total: 1 location
1
Mansoura University Hospital
Al Mansurah, Egypt, 35516
Actively Recruiting
Research Team
M
Mostafa Shalaby, MD, PhD
How is the study designed?
Study Type
INTERVENTIONAL
Masking
TRIPLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
PREVENTION
Number of Arms
2
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