Prospective Assessment of Procedure-Related and Patient-Reported Outcomes After Retrograde Intrarenal Surgery (RIRS) for Renal Calculi Less Than 20 mm
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Mansoura University
- Enrollment
- 340
- Locations
- 2
- Primary Endpoint
- stone free rate (SFR)
Study Overview
Brief Summary
The investigators aim at this study to prospectively assess procedure-related outcomes after RIRS for renal calculi less than 20 mm, including stone free rate (SFR), predictors of successful outcome, complications types/rate, readmission rate and the need of auxiliary procedures. In addition, patient-reported outcomes after this modality of intervention are going to be assessed.
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Ability to give informed consent.
- •Stone criteria:
- •Less than 20 mm.
- •Infectious stone.
- •Growing stone on follow-up.
- •Kidney criteria:
- •Obstructing stone causing hydronephrosis.
- •Solitary kidney or bilateral renal stones.
- •Patients criteria:
- •Age ≥18 years.
- •Symptomatic stone causing pain or hematuria.
- •Patient comorbidity omitting other modalities as bleeding diathesis or skeletal deformities.
- •Patient preference or patients' social situation concerning profession or amount of travel
Exclusion Criteria
- •Inability to give informed consent.
- •Stone criteria:
- •More than 20 mm.
- •Peripheral calyceal asymptomatic stone static in size on follow-up.
- •Unsuitable/failure of initial treatment modalities (oral dissolution therapy-SWL) for stones less than 20 mm.
Arms & Interventions
Flexible ureteroscope
Intervention: Retrograde Intrarenal Surgery (Procedure)
Outcomes
Primary Outcomes
stone free rate (SFR)
Time Frame: It will be assessed by non contrast computed tomography for the participants one month after the procedure
stone free rate after the procedure
Secondary Outcomes
- Predictors of operative time of the procedure(Immediately after the procedure)
- - Post-operative complications using modified Dindo-Clavian grading system(within 30 days after the procedure)
- Intra-operative clinical judgment of the surgeon on stone free status using flouroscopy and visual scanning of pelvicalyceal system and its relation to post-operative NCCT.(Post operative day 1 after the procedure)
- - Patient -reported outcomes about post operative pain using visual analogue scale(within 3 months after the procedure)
- Patient -reported outcomes about General impression on the procedure using Freiburg Index of patient Satisfaction (FIPS).(within 3 months after the procedure)
- Assessment of patient-reported outcomes using patient-reported outcomes measurements information system (PROMIS)(within 3 months after the procedure)
Investigators
Amr Abdel-Lateif El-Sawy
Principal Investigator
Mansoura University
