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CTRI Number  CTRI/2025/03/081881 [Registered on: 07/03/2025] Trial Registered Prospectively
Last Modified On: 06/03/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Other (Specify) [variation in traditional sitz bath technique ]  
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Traditional sitz bath vs Hot-Cold-Hot (HCH) sitz bath- A Randomized controlled trial. 
Scientific Title of Study   Effects of Traditional sitz bath vs Hot-Cold-Hot (HCH) sitz bath in post anal sphincterotomy patients with chronic anal fissure- A Randomized controlled trial. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Mayank Badkur 
Designation  Associate Professor 
Affiliation  AIIMS Jodhpur 
Address  Room no 526, General Surgery OPD, AIIMS Jodhpur, Jodhpur Rajasthan India

Jodhpur
RAJASTHAN
342005
India 
Phone  9981121554  
Fax    
Email  drmayankbadkur@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Mayank Badkur 
Designation  Associate Professor 
Affiliation  AIIMS Jodhpur 
Address  Room no 526, General Surgery OPD, AIIMS Jodhpur, Jodhpur Rajasthan India


RAJASTHAN
342005
India 
Phone  9981121554  
Fax    
Email  drmayankbadkur@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Mayank Badkur 
Designation  Associate Professor 
Affiliation  AIIMS Jodhpur 
Address  Room no 526, General Surgery OPD, AIIMS Jodhpur, Jodhpur Rajasthan India


RAJASTHAN
342005
India 
Phone  9981121554  
Fax    
Email  drmayankbadkur@gmail.com  
 
Source of Monetary or Material Support  
AIIMS Jodhpur, Jodhpur, Rajasthan, India, 342005 
 
Primary Sponsor  
Name  AIIMS Jodhpur 
Address  AIIMS Jodhpur, Jodhpur, Rajasthan, India. 342005 
Type of Sponsor  Government medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Myank Badkur  Room no 526, Surgery OPD, Department if General SurgeryAIIMSJodhpur  AIIMS Jodhpur, Jodhpur, Rajasthan, India. 342005
Jodhpur
RAJASTHAN 
9981121554

drmayankbadkur@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committe (Clinical Trial))e  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K602||Anal fissure, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Hot-Cold-Hot Sitz Bath  Patients will be instructed to sit in a tub containing lukewarm water (the prescribed temperature of the water was to be equal to what they would have preferred for a whole-body bath (37 to 40°C)) for 5 min, followed by cold water (water temperature to temperature (15 to 20°C)) for 5 min. and again a lukewarm water sitz bath follows it for 5 min. Patients were advised not to add anything to the water used for the sitz bath. 
Comparator Agent  Traditional Sitz bath   Patients will be instructed to sit in a tub containing lukewarm water (the waters prescribed temperature was equal to what they would have preferred for a whole-body bath (37 to 40°C)) for 15 min each time. Patients were advised not to add anything to the water used for the sitz bath. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  1. Post operative patients of anal fissure.
2. Mental Ability to understand and follow the intervention
3. Physical ability to perform the intervention.
 
 
ExclusionCriteria 
Details  1. Sever Cardiovascular diseases.
2. Pregnancy
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
To compare the mean Post defecation pain on POD 7  post operative day (POD) 7 
 
Secondary Outcome  
Outcome  TimePoints 
1. To compare the post defecation Pain score on POD 1st & 7th POD.
2. To compare the mean Post defecation perianal burning sensation on POD 1st & 7th POD.
3. To evaluate the patient satisfaction level at 7th POD.
4. To evaluate the duration of oral analgesia required in post operative period up to 7th POD.
5. To evaluate the quality of life (SF-36) at 7th POD.
 
post operative day 1
post operative day 7 
 
Target Sample Size   Total Sample Size="82"
Sample Size from India="82" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 3/ Phase 4 
Date of First Enrollment (India)   17/03/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

Traditional Sitz bath, an age-old therapeutic process widely used in perianal pathologies. Many modifications of the sitz bath have been tried. With the help of our current study, we are trying to compare the effect of traditional sitz bath vs Hot-Cold-Hot (HCH) sitz bath in post-anal sphincterotomy patients with chronic anal fissure


Research Question:

Is Hot-Cold-Hot (HCH) sitz bath superior to traditional sitz bath in post anal sphincterotomy patients with chronic anal fissure? 


 
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