Benefit and side effect of ureteric stunting after ureteric stone surgery

Completed

• Conditions: Calculus of ureter,

• Registration Number: CTRI/2020/07/026421
• Lead Sponsor: depatment of urology

Brief Summary

Ureteroscopic lithotripsy, extracorporeal shock wave lithotripsy (ESWL), medical therapy, percutaneous nephrolithotomy and laparoscopic surgery are all the indicated for the treatment of ureteral stones. URSL and ESWL are the most widely used techniques to clear stones with high degree of success [3].

Procedure of choice for treating ureteric calculi especially mid and lower ureteric calculi is ureterorenoscopic lithotripsy.There are specific indications for D J placement  after URSL such as ureteral injury ureteral edema with or without stone impaction, ureteral perforation, previous history of or present renal failure, URSL done in  solitary kidney or a transplant kidney.

Despite such indications for DJ stenting, stenting is being injudiciously by urologist inspite of morbidity associated with stenting. Worldwide data shows 13% of urologists place DJ stent after every endoscopic stone surgery (URSL/RIRS) and 66% of the urologists place a DJ stent more than half of the times after URSL/RIRS[9]. This numbers would be further higher in India.

There is still controversy regarding placement of ureteral stent after uncomplicated URS stone surgery.

Detailed Description

Not available

Study Timeline

• Study Start: 2020-08-07
• Study Completion: 2020-12-18
• Last Update Posted: 2020-12-22

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 70

Inclusion Criteria

Unilateral Solitary Calculi Size <15 mm.

Exclusion Criteria

History of pyelonephritis Solitary kidney Ureteric injury Concomitant stone at other place in urinary tract Ureteric stricture.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
2) To assess incidence of complications in both group study subjects after URSL and make comparison.	post operative day 3, week 1, week 2 week 3, week 4 after surgery
1) To study and compare the sociodemographic and morbidity parameters among the study subjects in two groups.	post operative day 3, week 1, week 2 week 3, week 4 after surgery
3) To determine the average stone free rate in both the groups.	post operative day 3, week 1, week 2 week 3, week 4 after surgery

Secondary Outcome Measures

Name	Time	Method
1) need of analgesic in post operative period.	2) mean hopspital stay.

Trial Locations

Locations (1)

IPGMER And SSKM Hospital; 🇮🇳 Kolkata, WEST BENGAL, India

IPGMER And SSKM Hospital

🇮🇳Kolkata, WEST BENGAL, India

Dr Anand abhishek

Principal investigator

8603942053

dranandabhishek@icloud.com