Access Sheath and Stent Trial for Kidney and Ureteral Stones

This study is looking at how patients feel after surgery for kidney or ureteral stones when a ureteral access sheath (a tube used during surgery) is used. Specifically, it compares patient experiences when a stent (a small tube placed in the ureter) is either left out or put in after the surgery. You might be able to join if you are 18 or older, need ureteroscopy (a procedure to remove stones) for a kidney or ureteral stone, and already have a ureteral stent. The study aims to see if there are differences in your pain levels after the procedure, measured at baseline and again 7-10 days later. The study plans to enroll 184 participants, but its current status is unclear.

Study design
This is an interventional study that plans to enroll 184 participants. After an initial procedure, participants will be randomly assigned to either have a stent placed or not.
What's involved
You will complete surveys before your procedure, daily for up to 7-10 days or until your stent is removed (if placed), and 30 days after the procedure. Your medical records will also be reviewed.
Compensation
Not stated in the trial record.
Follow-up
Participants will be followed for at least 30 days after the procedure.

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NCT07297953

Access Sheath and Stent Trial

Recruiting
NAAges 18+InterventionalHealth services
University of Michigan
~184 participants
Updated 2025-12-22 on ClinicalTrials.gov
What's tested:Surveys

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Differences in PROMIS Pain Interference
Measured over Baseline (before procedure), 7-10 days after procedure
Kidney Stone
Ureteral Stone
1 sites across 1 states
Michigan1
  • Khurshid Ghani, MD · PRINCIPAL_INVESTIGATOR · University of Michigan

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Eligibility criteria

Inclusion

Provision of signed and dated informed consent form
Stated willingness to comply with all study procedures and availability for the duration of the study
Planned ureteroscopy using a Ureteral Access Sheath (UAS) for treatment of unilateral kidney and/or ureteral stones in patients that have an existing ureteral stent (pre-stented)
Planned treatment of unilateral renal and/or ureteral stones, in a single procedure.
Renal stone defined as only renal location of stone(s)
Ureteral stone defined as ureteral only location of stone(s)
Ureteral and renal stone(s)
No evidence of significant ureteral injury on intra-operative assessment (Post-Ureteroscopy Lesion Scale (PULS) Grade 0 or 1)
Ability and willingness to complete and adhere to survey questions and responses throughout study duration.

Exclusion

Pregnancy
Ureteric injury during ureteroscopy (PULS ≥ Grade 2)
Evidence of ureteral stricture
Anatomical abnormalities (e.g., solitary, horseshoe, fused crossed ectopia, pelvic kidney, urinary diversion)
Known planned secondary or staged procedure
Indwelling nephrostomy tube
Bilateral ureteroscopy
  • Differences in PROMIS Pain InterferenceBaseline (before procedure), 7-10 days after procedure

    This is a 6-item survey which participants select a response for each item from 1=not at all to 5=very much for how much pain interfered with their life. The scores range from 6-30 with a higher score indicating greater interference.