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Functional Outcome After Minimally Invasive Pyeloplasty for Adult Patients With UPJO

Primary Purpose

Ureteropelvic Junction Obstruction

Status
Recruiting
Phase
Phase 3
Locations
Egypt
Study Type
Interventional
Intervention
pyeloplasty
Sponsored by
Cairo University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Ureteropelvic Junction Obstruction

Eligibility Criteria

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

Inclusion Criteria: all patients with UPJO above 18 years UPJO caused by crossing vessels confirmed by CT angiography Symptomatic UPJO Exclusion Criteria: recurrent UPJO after a previous trial of open repair , secondary UPJO after open renal surgery. UPJO in non functioning kidney

Sites / Locations

  • Faculty of MedicineRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

vascular hitch

Dismembered pyeloplasty

Arm Description

displacement of the lower polar crossing vessels causing the UPJO

classic Anderson-Hynes procedure

Outcomes

Primary Outcome Measures

comparing the two techniques regarding the success rate
both techniques are supposed to have similar results

Secondary Outcome Measures

Full Information

First Posted
May 31, 2023
Last Updated
June 7, 2023
Sponsor
Cairo University
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1. Study Identification

Unique Protocol Identification Number
NCT05895422
Brief Title
Functional Outcome After Minimally Invasive Pyeloplasty for Adult Patients With UPJO
Official Title
Functional Outcome After Laparoscopic and Robot Assisted Management of Uretero-pelvic Junction Obstruction Disease Caused by Crossing Vessels for Adult Patients
Study Type
Interventional

2. Study Status

Record Verification Date
May 2023
Overall Recruitment Status
Recruiting
Study Start Date
June 1, 2023 (Actual)
Primary Completion Date
June 1, 2025 (Anticipated)
Study Completion Date
July 1, 2025 (Anticipated)

3. Sponsor/Collaborators

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

4. Oversight

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

5. Study Description

Brief Summary
an intervention study on adult patients with uretero-pelvic junction obstruction (UPJO) due to crossing vessels would be managed either through classic dismembered pyeloplasty or vascular hitch.
Detailed Description
in recent studies, some patients with crossing vessels UPJO could be managed by vascular displacement of these vessels, what is named as vascular hitch or vasculopexy in a way to avoid classic dismembered technique. this newer technique is supposed to provide comparable results to the classic technique but with lesser operative time and shorter hospital stay. in the era of minimally invasive procedures, robotic assisted or laparoscopic vascular hitch could provide many advantages over the classic open technique.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Ureteropelvic Junction Obstruction

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Model Description
randomized intervention study
Masking
Participant
Masking Description
one blind
Allocation
Randomized
Enrollment
17 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
vascular hitch
Arm Type
Experimental
Arm Description
displacement of the lower polar crossing vessels causing the UPJO
Arm Title
Dismembered pyeloplasty
Arm Type
Active Comparator
Arm Description
classic Anderson-Hynes procedure
Intervention Type
Procedure
Intervention Name(s)
pyeloplasty
Intervention Description
repair of the uPJO
Primary Outcome Measure Information:
Title
comparing the two techniques regarding the success rate
Description
both techniques are supposed to have similar results
Time Frame
2 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: all patients with UPJO above 18 years UPJO caused by crossing vessels confirmed by CT angiography Symptomatic UPJO Exclusion Criteria: recurrent UPJO after a previous trial of open repair , secondary UPJO after open renal surgery. UPJO in non functioning kidney
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Ahmed M Rammah, MD
Phone
2001005622939
Email
ahmedrammah2013@gmail.com
First Name & Middle Initial & Last Name or Official Title & Degree
Islam N Abdel Aziz, M.sc
Phone
2001013132994
Email
islamnasser54asdasd@gmail.com
Facility Information:
Facility Name
Faculty of Medicine
City
Cairo
ZIP/Postal Code
115
Country
Egypt
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ahmed M Rammah, MD
Phone
2001005622939
Email
ahmedrammah2013@gmail.com
First Name & Middle Initial & Last Name & Degree
Islam N Abdel AZIA, M.sc
Phone
2001013132994
Email
islamnasser54asdasd@gmail.com

12. IPD Sharing Statement

Plan to Share IPD
Undecided
IPD Sharing Plan Description
the researchers would determine whether they would share or not during the study

Learn more about this trial

Functional Outcome After Minimally Invasive Pyeloplasty for Adult Patients With UPJO

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