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Ureteric Stenting Versus Non-stenting Following Uncomplicated Ureteroscopic Lithotripsy

Primary Purpose

Ureter Stone

Status
Completed
Phase
Not Applicable
Locations
Jordan
Study Type
Interventional
Intervention
no stent
Sponsored by
University of Jordan
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Ureter Stone

Eligibility Criteria

18 Years - 85 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Age 18 years or older
  • unilateral ureteric stones managed by ureteroscopy

Exclusion Criteria:

  • Stone size < 2 cm
  • bilateral ureteral stones
  • incomplete stone removal due to impacted stones
  • failed ureteroscopic access to the stone
  • stone migration to the kidney
  • pregnancy
  • active urinary tract infection
  • solitary kidney
  • ureteral stent placed preoperatively
  • severe mucosal injury or perforation
  • suspected additional ureteral pathology such as ureteral stricture
  • urothelial carcinoma or polyp.

Sites / Locations

  • Jordan University Hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

No Intervention

Active Comparator

No Intervention

Arm Label

uncomplicated ureteroscopic lithotripsy with DJ-US

uncomplicated ureteroscopic lithotripsy without US

uncomplicated ureteroscopic lithotripsy with DJ-US-string

Arm Description

Following uncomplicated uretroscopic lithotripsy, a double J uretric stent will be placed (usually the standard of care)

Following uncomplicated uretroscopic lithotripsy no uretric stent will be placed

Following uncomplicated uretroscopic lithotripsy, a double J uretric stent with an extraxtion string will be placed

Outcomes

Primary Outcome Measures

Visual Analog Score (VAS)
Visual Analog Score (VAS) for flank pain and dysuria score, urgency, frequency, suprapubic pain, hematuria, analgesia requirement, operative time, re-hospitalization, and return to normal physical activity. This is a widely-used scale. It a unidimensional measure of pain intensity. It is administered as a straight horizontal line orientated from the left (worst) to the right (best) , where the patient indicates their situation.

Secondary Outcome Measures

Full Information

First Posted
October 28, 2019
Last Updated
August 17, 2021
Sponsor
University of Jordan
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1. Study Identification

Unique Protocol Identification Number
NCT04145063
Brief Title
Ureteric Stenting Versus Non-stenting Following Uncomplicated Ureteroscopic Lithotripsy
Official Title
Ureteric Stenting Versus Non-stenting Following Uncomplicated Ureteroscopic Lithotripsy: A Prospective Randomized Trial
Study Type
Interventional

2. Study Status

Record Verification Date
August 2021
Overall Recruitment Status
Completed
Study Start Date
February 2, 2016 (Actual)
Primary Completion Date
June 1, 2019 (Actual)
Study Completion Date
December 1, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
University of Jordan

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This study aims to compare three groups of patients who underwent uncomplicated ureteroscopic lithotripsy (URSL) to evaluate whether stents could be eliminated after the procedure

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Ureter Stone

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
100 (Actual)

8. Arms, Groups, and Interventions

Arm Title
uncomplicated ureteroscopic lithotripsy with DJ-US
Arm Type
No Intervention
Arm Description
Following uncomplicated uretroscopic lithotripsy, a double J uretric stent will be placed (usually the standard of care)
Arm Title
uncomplicated ureteroscopic lithotripsy without US
Arm Type
Active Comparator
Arm Description
Following uncomplicated uretroscopic lithotripsy no uretric stent will be placed
Arm Title
uncomplicated ureteroscopic lithotripsy with DJ-US-string
Arm Type
No Intervention
Arm Description
Following uncomplicated uretroscopic lithotripsy, a double J uretric stent with an extraxtion string will be placed
Intervention Type
Other
Intervention Name(s)
no stent
Intervention Description
following uretroscopy, no stent will be placed
Primary Outcome Measure Information:
Title
Visual Analog Score (VAS)
Description
Visual Analog Score (VAS) for flank pain and dysuria score, urgency, frequency, suprapubic pain, hematuria, analgesia requirement, operative time, re-hospitalization, and return to normal physical activity. This is a widely-used scale. It a unidimensional measure of pain intensity. It is administered as a straight horizontal line orientated from the left (worst) to the right (best) , where the patient indicates their situation.
Time Frame
1 week

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
85 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Age 18 years or older unilateral ureteric stones managed by ureteroscopy Exclusion Criteria: Stone size < 2 cm bilateral ureteral stones incomplete stone removal due to impacted stones failed ureteroscopic access to the stone stone migration to the kidney pregnancy active urinary tract infection solitary kidney ureteral stent placed preoperatively severe mucosal injury or perforation suspected additional ureteral pathology such as ureteral stricture urothelial carcinoma or polyp.
Facility Information:
Facility Name
Jordan University Hospital
City
Amman
ZIP/Postal Code
11942
Country
Jordan

12. IPD Sharing Statement

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Ureteric Stenting Versus Non-stenting Following Uncomplicated Ureteroscopic Lithotripsy

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