Active Versus Passive Anal Sphincter Training in Patients With Fecal Incontinence
NCT07604415 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 24
Last updated 2026-05-22
Summary
Fecal incontinence is a disabling condition that can substantially impair quality of life. This study evaluates whether home-based anal electrical stimulation combined with active voluntary anal sphincter contraction is superior to electrical stimulation alone in patients with fecal incontinence.
The study is a prospective, randomized, parallel-group, open-label controlled trial. Participants will be randomized in a 1:1 ratio to either electrical stimulation with synchronized active sphincter contraction or electrical stimulation alone. The primary outcome is the change in Vaizey/St. Mark's Incontinence Score from baseline to week 12. Secondary outcomes include fecal incontinence episodes, quality of life, anorectal manometry parameters, adherence, safety, and sustained response during follow-up.
Conditions
- Fecal Incontinence
Interventions
- DEVICE
-
Home-based anal electrical stimulator
Home-based anal electrical stimulation delivered using the NeuroTrac Continence device. Stimulation parameters include frequency 40 Hz, pulse width 250 µs, 5 seconds ON and 10 seconds OFF cycles, 1-second ramp-up, session duration 25 minutes, and patient-adjusted intensity up to the maximum tolerable level without pain.
Sponsors & Collaborators
-
Comenius University
collaborator OTHER -
University Hospital, Martin
lead OTHER
Principal Investigators
-
Peter Liptak, MD, PhD · Clinic of Internal Medicine- Gastroenterology, University Hospital Martin, Jessenous Faculty of Medicine in Martin, Comenius University, Slovakia
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-05-15
- Primary Completion
- 2029-05-31
- Completion
- 2029-05-31
Countries
- Slovakia
Study Locations
More Related Trials
-
Could Preoperative Assessment of Physical and Psychological Status Help Predict Pain After Anorectal Surgery?
NCT06049524 ·Status: NOT_YET_RECRUITING
-
Medical and Economic Evaluation of a Magnetic Anal Sphincter for Patients With Severe Anal Incontinence
NCT01920607 ·Status: SUSPENDED ·Phase: NA
-
Percutaneous Tibial Nerve Stimulation (PTNS) for the Treatment of Chronic Anal Fissure
NCT04604483 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Treatment of Fecal Incontinence After Obstetric Anal Sphincter Injuries
NCT01528995 ·Status: COMPLETED ·Phase: NA
-
Comparative Study Between Surgical and Non Surgical Treatment of Anismus in Patients
NCT00735605 ·Status: COMPLETED ·Phase: NA
-
Multi-Drug Analgesia vs. Standard Solution for Anal Surgery
NCT03105674 ·Status: WITHDRAWN ·Phase: PHASE4
-
Transanal vs Transvaginal Rectal Resection for Anterior Rectocele
NCT07375147 ·Status: RECRUITING ·Phase: NA
-
Outcomes for Anesthesiologist-Led Care of Analgesic Protocol in Anorectal Surgery
NCT06015165 ·Status: RECRUITING ·Phase: NA
-
Outcomes of the Use of CO2 (Carbon Dioxide) Laser in the Treatment of Chronic Anal Fissure
NCT03872765 ·Status: COMPLETED ·Phase: NA
-
Study Evaluating the Safety and Efficacy of an ECM Hydrogel for the Treatment of Anorectal Fistulas
NCT07035925 ·Status: RECRUITING ·Phase: NA
-
Frailty Increase Rectal Prolapse Recurrence
NCT07230275 ·Status: COMPLETED
-
Percutaneous Tibial Nerve Stimulation - an Alternative Treatment Option for Chronic Therapy Resistant Anal Fissure
NCT03554421 ·Status: COMPLETED ·Phase: NA
-
Semiflex Assisted Vacuum Therapy for Perianal Abscesses/Sinuses and Fistula: a Pilot Study
NCT06446635 ·Status: RECRUITING ·Phase: NA
-
The Role of Fitostimoline Proctogel in Symptoms Relief and Healing in Patients Affected by Anal Fissure
NCT04714684 ·Status: UNKNOWN ·Phase: NA
-
Re-routing in Treatment High Anal Fistula
NCT05476146 ·Status: UNKNOWN ·Phase: NA
-
Anal Fistula Plug for High-type Anal Fistulae
NCT00487071 ·Status: TERMINATED ·Phase: NA
-
Combined Method of Surgical Treatment of Anal Fissure
NCT07268261 ·Status: RECRUITING ·Phase: NA
-
A Study to Evaluate Topical Phenylephrine Gel in the Management of Faecal Incontinence
NCT00420797 ·Status: WITHDRAWN ·Phase: PHASE3
-
External Anal Sphincter Fatigability
NCT04067453 ·Status: COMPLETED
-
Comparison of Transanal Irrigation and Glycerol Suppositories in Treatment of Low Anterior Resection Syndrome
NCT04087421 ·Status: RECRUITING ·Phase: PHASE3
-
Endorectal Three-dimensional Ultrasound in the Diagnosis of Cryptogenic Fistulas of the Rectum.
NCT03743701 ·Status: UNKNOWN ·Phase: NA
-
Post Hemorrhoidectomy Anorectal Pain
NCT03240185 ·Status: COMPLETED
-
Study of a New Circular Anal Dilator
NCT00693459 ·Status: COMPLETED ·Phase: NA
-
Parental Attitudes to Neoanus Dilatations Post-reconstruction in Anorectal Malformations
NCT05749406 ·Status: UNKNOWN
-
Efficacy of Stimulation of the Efferent Loop and Rehabilitation of the Pelvic Floor in the Quality of Life of Patients Who Underwent Anterior Resection of the Rectum (ENESP): Randomized Clinical Trial
NCT04569331 ·Status: COMPLETED ·Phase: NA