Study on Enhanced Recovery After Surgery to Lower Urinary Retention After Surgery for Benign Anorectal Conditions

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.

Effect of Enhanced Recovery After Surgery for Benign Anorectal Conditions