The Role of Ureteral Stenting Following Uncomplicated Ureteroscopy for Ureteral and Renal Stones: A Randomized, Controlled Trial
- Conditions
- Ureteroscopy
- Interventions
- Device: Placement of ureteral stent
- Registration Number
- NCT03130907
- Lead Sponsor
- San Antonio Uniformed Services Health Education Consortium
- Brief Summary
It is well established that uncomplicated distal ureteroscopy can be safely performed without leaving a ureteral stent. However, many urologists continue to leave ureteral stents following uncomplicated ureteroscopy, regardless of stone location, due to concerns for post-operative complications, patient symptoms and to reduce unplanned medical visits. There is a paucity of data regarding the utility of stent placement for proximal ureteral or renal stones following ureteroscopy. We have designed a prospective, randomized controlled trial to evaluate the role of ureteral stent placement following ureteroscopy and pyeloscopy in proximal and renal stones.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 72
- Adult patients age ranges 18-89 with solitary or multiple proximal ureteral or renal stones 1.5cm or smaller measured in the longest dimension on preoperative imaging (CT or xray). Proximal ureteral stones are those proximal to the pelvic brim in the ureter.
- Stone size greater than 1.5 cm on preoperative imaging
- Pregnancy
- Stent placement prior to ureteroscopy ("pre-stented patients")
- Patients with solitary kidney
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Stent Placement of ureteral stent - No stent Placement of ureteral stent -
- Primary Outcome Measures
Name Time Method Postoperative complications 30 days ED returns, Unplanned OR returns, admissions, UTIs
- Secondary Outcome Measures
Name Time Method Subjective patient symptom scores 6 weeks symptom questionnaires
Trial Locations
- Locations (1)
BAMC
🇺🇸San Antonio, Texas, United States