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The Role of Ureteral Stenting Following Uncomplicated Ureteroscopy for Ureteral and Renal Stones: A Randomized, Controlled Trial

Not Applicable
Completed
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
Inclusion Criteria
  • 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.
Exclusion Criteria
  • 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
GroupInterventionDescription
StentPlacement of ureteral stent-
No stentPlacement of ureteral stent-
Primary Outcome Measures
NameTimeMethod
Postoperative complications30 days

ED returns, Unplanned OR returns, admissions, UTIs

Secondary Outcome Measures
NameTimeMethod
Subjective patient symptom scores6 weeks

symptom questionnaires

Trial Locations

Locations (1)

BAMC

🇺🇸

San Antonio, Texas, United States

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