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Optimaal gebruik van Botuline toxine voor efficiënte behandeling van chronische anale fissure

Conditions
Chronic anal fissure
Registration Number
NL-OMON20571
Lead Sponsor
MCG
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Pending
Sex
Not specified
Target Recruitment
150
Inclusion Criteria

In order to be eligible to participate in this study, a subject must meet all of the following criteria:
-=18 years old
-have chronic anal fissure
-are referred for treatment with botulin toxin injections for treatment of CAF
-understand Dutch language
-sign inform consent

Exclusion Criteria

A potential subject who meets any of the following criteria will be excluded from participation in this study:
-no given inform consent
-mental retardation
-severe operations in the region of anal sphincter, which might impair the function of the internal or external anal sphincter.
-any disease altering function of anal sphincter, including Hirschsprung disease, anorectal malformations, diabetes myelitis and peripheral neuropathy
-pregnancy

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Treatment efficacy estimated via healing rate and no long-term recurrance.
Secondary Outcome Measures
NameTimeMethod
Secondary study parameter(s):<br>- safety of the treatment, defined by side effects known from previous studies (temporary: incontinence for flatus, soiling, fecal incontinence), will be approached using de DeFeC questionnaire and anamneses. <br>- changes of anorectal physiology will be approached using the anorectal physiology tests<br>- the socioeconomic efficiency (including QoL) will be evaluated using the EuroQoL-5D-5L and iMSQ instruments.<br>All the secondary outcomes will be measured on a short and long term (8-10 weeks and 12 months after treatment, respectively).
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