Diagnostic Value of Recto-perineal Ultrasound in Perianal Fistula

Completed

• Conditions: Perianal Fistula

• Registration Number: NCT06314945
• Lead Sponsor: Zagazig University

Brief Summary

Perianal fistula is a common anal problem. It needs only surgery. MRI is the best preoperative diagnostic tool, but it is demanding as it is expensive, time consuming and needs an experienced radiologist. So, we tried to find an alternative diagnostic tool which is cheaper, time saving and accurate and comparing its preoperative reports with intraoperative findings.

study was held in surgery department in Zagazig University Hospitals from September 2023 to March 2024. It included 93 patients with perianal fistula who were diagnosed clinically and radiological by trans recto-perineal ultrasound and comparing pre-operative ultrasound findings with intra-operative surgical findings.

Detailed Description

Not available

Study Timeline

• Study Start: 2023-09-01
• Status Verified: 2024-03
• Primary Completion: 2024-03-01
• Study Completion: 2024-03-01
• Study First Submitted: 2024-03-11
• Study First Submitted QC: 2024-03-15
• Last Update Submitted: 2024-03-15
• Study First Posted: 2024-03-18
• Last Update Posted: 2024-03-18

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 93

Inclusion Criteria

• Perianal abscess and\or fistula
• Patients who accidently discovered during transvaginal ultrasound.
• Age group between above 18 years old

Exclusion Criteria

• Informed consent refusal.
• Proved anal malignancy.
• Patients less than 18 years old

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
body mass index	from 2 to 3 days before surgery	patient BMI was recorded by dividing weight in kg by length square in meters
history of abscess drainage	from 2 to 3 days before surgery	history of perianal abscess was recorded
type fistulous tract	from 2 to 3 days pre-operative and intraoperatively	type of fistula was detected in relation to anal sphincters by ultrasound and intraoperative
abscess cavity	from 2 to 3 days pre-operative and intraoperatively	presence or absence of abscess cavity was assessed in ultrasound and intraoperative
sex	from 2 to 3 days before surgery	sex of patients was recorded as male or female
fistula branches	from 2 to 3 days pre-operative and intraoperatively	presence of fistula branches and their number were assessed by ultrasound and during surgery
age	from 2 to 3 days before operation	age of patient was recorded in years
Internal opening	from 2 to 3 days pre-operative and intraoperatively	presence and site of internal opening was assessed by digital rectal examination and utrasound

Secondary Outcome Measures

Name	Time	Method
other anal disease	from 2 to 3 days before surgery	presence or absence of other anal disease like anal fissure, piles or inflammatory bowel disease from medical records of the patients
anal discharge	from 2 to 3 days before surgery	presence or absence of anal discharge, its color, odor and viscosity were assessed by history of soiling underwear and clinical examination by soiling of gloves or direct vision of discharge during digital rectal examination
external openings	from 2 to 3 days pre-operative and intraoperatively	number and site of external openings was assessed by clinical and radiological examination

Trial Locations

Locations (1)

Zagazig University Hospitals; 🇪🇬 Zagazig, Egypt