Differences in Postoperative Symptoms With Four Ureteral Stents

Urinary Stone Clinical Trial

Official title:

Randomized Clinical Trial Evaluating Differences in Postoperative Symptoms With 6Fr Percuflex Ureteral Stents Versus 6Fr Tria Ureteral Stents Versus 4.8Fr Percuflex Ureteral Stents Versus 4.8Fr Tria Ureteral Stents After Laser Lithotripsy of Renal and Ureteral Stones

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT06083051
• Other study ID #: 2023-0832
• Secondary ID: UrologyProtocol
• Status: Recruiting
• Phase: N/A
• Start date: March 21, 2024
• Est. completion date: July 2025

Study information

• Verified date: April 2024
• Source: University of Wisconsin, Madison
• Contact: Shuang Li
• Phone: 608.263.8336
• Email: lis[@]urology.wisc.edu
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This is a prospective randomized controlled trial designed to assess the differences in postoperative symptoms related to placement of a 6Fr Percuflex ureteral stents, 6Fr Tria ureteral stents, 4.8Fr Percuflex ureteral stents, and 4.8Fr Tria ureteral stents after ureteroscopy with laser lithotripsy for treatment of upper tract urinary stones. 272 participants will be enrolled and will be on study for up to approximately 10 weeks.

Description:

The investigators will compare Ureteral Stent Symptom Questionnaire (USSQ) scores with each ureteral stent. Laser lithotripsy is a surgical procedure performed during stone surgeries. The Percuflex ureteral stent and Tria ureteral stent are FDA approved and clinically used in the United States.

A total of 3 clinic visits (i.e., pre-operative visit, the stent removal 1-2 weeks after surgery, and one post-operative visit 3-6 weeks after surgery) in addition to the surgery will be needed for this study. The patient's demographic information and medical background data will be collected from the medical record.

The USSQ will be administered twice:

1. At the time of stent removal (1-2 weeks after surgery ) (This is standard of care)

2. At the first postoperative follow-up after stent removal (3-6 weeks) (This is the standard of care).

The following information will be collected as secondary outcomes:

1. WisQOL which will be administered three times. It is UW standard of care for stone patients to complete the WisQOL at every clinic visit.

2. ER visits documented in patients chart

3. Unscheduled clinic follow-up documented in patient chart

4. Additional prescriptions for stent related symptoms documented by patient chart

5. Stent complications by fluoroscopy or image

6. Physician evaluation of the stent. Physicians will complete a one page survey at the end of the case evaluating the stent.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 272
• Est. completion date: July 2025
• Est. primary completion date: July 2025
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 89 Years

Eligibility

Inclusion Criteria:

• Patients with renal or ureteral urinary stones who require endoscopic treatment and stent placement in the outpatient operating room.

Exclusion Criteria:

• Pregnant patients

• Patients with transplant kidneys

• Patients with irreversible coagulopathy

• Patients with known ureteral stricture disease

• Non-English speaking, vulnerable patients such as lacking of decision-making capability, prisoner, adult unable to consent, will not be enrolled.

• Patients with planned staged procedures.

• Patients who have stent placed before surgery.

Related Conditions & MeSH terms

• Urinary Calculi
• Urinary Stone
• Urolithiasis

Intervention

Device:
• 6Fr Percuflex ureteral stents
The Percuflex stent is a 6Fr polymeric, hydrophilic coated stent that is routinely used post ureteroscopy with laser lithotripsy.
• 6Fr Tria ureteral stents
The Tria stent is a new stent that is designed to soften at body temperature after placement, with an additional coating that prevents calcium and magnesium build up. This is intended to increase patient tolerability of the stent. 6 Fr is the diameter.
• 4.8Fr Tria ureteral stents
The Tria stent is a new stent that is designed to soften at body temperature after placement, with an additional coating that prevents calcium and magnesium build up. This is intended to increase patient tolerability of the stent. 4.8 Fr is the diameter.
• 4.8Fr Percuflex ureteral stents
The Percuflex stent is a 4.8Fr polymeric, hydrophilic coated stent that is routinely used post ureteroscopy with laser lithotripsy.

Locations

Country	Name	City	State
United States	University of Wisconsin School of Medicine and Public Health	Madison	Wisconsin

Sponsors (1)

Lead Sponsor	Collaborator
University of Wisconsin, Madison

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Ureteral Stent Symptom Questionnaire (USSQ) scores-Urinary symptoms	USSQ is a 38-item questionnaire to evaluate symptoms and impact on quality of life of ureteral stents. The high scores indicate worse outcomes. It has 5 sections, urinary symptoms, pain, general health, work performance, and sexual matters. The urinary subscale score range from 11-54.	at time of stent removal 1-2 weeks after surgery (up to 4 weeks on study)
Primary	Ureteral Stent Symptom Questionnaire (USSQ) scores-Pain Index	USSQ is a 38-item questionnaire to evaluate symptoms and impact on quality of life of ureteral stents. The high scores indicate worse outcomes. It has 5 sections, urinary symptoms, pain, general health, work performance, and sexual matters. The Pain subscale score range from 6-37.	at time of stent removal 1-2 weeks after surgery (up to 4 weeks on study)
Primary	Ureteral Stent Symptom Questionnaire (USSQ) scores-General Health	USSQ is a 38-item questionnaire to evaluate symptoms and impact on quality of life of ureteral stents. The high scores indicate worse outcomes. It has 5 sections, urinary symptoms, pain, general health, work performance, and sexual matters. The General Health subscale score range from 6-28.	at time of stent removal 1-2 weeks after surgery (up to 4 weeks on study)
Primary	Ureteral Stent Symptom Questionnaire (USSQ) scores-Work Performance	USSQ is a 38-item questionnaire to evaluate symptoms and impact on quality of life of ureteral stents. The high scores indicate worse outcomes. It has 5 sections, urinary symptoms, pain, general health, work performance, and sexual matters. The Work Performance subscale score range from 3-15.	at time of stent removal 1-2 weeks after surgery (up to 4 weeks on study)
Primary	Ureteral Stent Symptom Questionnaire (USSQ) scores-Sexual matters	USSQ is a 38-item questionnaire to evaluate symptoms and impact on quality of life of ureteral stents. The high scores indicate worse outcomes. It has 5 sections, urinary symptoms, pain, general health, work performance, and sexual matters. The Sexual Matters subscale score range from 2-10.	at time of stent removal 1-2 weeks after surgery (up to 4 weeks on study)
Primary	Ureteral Stent Symptom Questionnaire (USSQ) scores-Urinary symptoms	USSQ is a 38-item questionnaire to evaluate symptoms and impact on quality of life of ureteral stents. The high scores indicate worse outcomes. It has 5 sections, urinary symptoms, pain, general health, work performance, and sexual matters. The urinary subscale score range from 11-54.	at time of stent removal 3-6 weeks after surgery (up to 10 weeks on study)
Primary	Ureteral Stent Symptom Questionnaire (USSQ) scores-Pain index	USSQ is a 38-item questionnaire to evaluate symptoms and impact on quality of life of ureteral stents. The high scores indicate worse outcomes. It has 5 sections, urinary symptoms, pain, general health, work performance, and sexual matters. The Pain subscale score range from 6-37.	at time of stent removal 3-6 weeks after surgery (up to 10 weeks on study)
Primary	Ureteral Stent Symptom Questionnaire (USSQ) scores-General Health	USSQ is a 38-item questionnaire to evaluate symptoms and impact on quality of life of ureteral stents. The high scores indicate worse outcomes. It has 5 sections, urinary symptoms, pain, general health, work performance, and sexual matters. The Pain subscale score range from 6-28.	at time of stent removal 3-6 weeks after surgery (up to 10 weeks on study)
Primary	Ureteral Stent Symptom Questionnaire (USSQ) scores-Work Performance	USSQ is a 38-item questionnaire to evaluate symptoms and impact on quality of life of ureteral stents. The high scores indicate worse outcomes. It has 5 sections, urinary symptoms, pain, general health, work performance, and sexual matters. The Work Performance subscale score range from 3-15.	at time of stent removal 3-6 weeks after surgery (up to 10 weeks on study)
Primary	Ureteral Stent Symptom Questionnaire (USSQ) scores-Sexual Matters	USSQ is a 38-item questionnaire to evaluate symptoms and impact on quality of life of ureteral stents. The high scores indicate worse outcomes. It has 5 sections, urinary symptoms, pain, general health, work performance, and sexual matters. The Sexual Matters subscale score range from 2-10.	at time of stent removal 3-6 weeks after surgery (up to 10 weeks on study)
Secondary	Change in Quality of Life measured by WISQOL Scores	WISQOL short form is a 6 item questionnaire which can be scored from 1 (worst outcome) to 5 (best outcome). The raw score range is 5-30. In the study, standardized total score is used. The range of the standardized total score is 0-100.	pre-operative visit (baseline), the stent removal 1-2 weeks after surgery (up to 4 weeks on study), and one post-operative visit 3-6 weeks after surgery (up to 10 weeks on study)
Secondary	Number of Emergency Room Visits	Data collected from medical record.	up to 10 weeks
Secondary	Number of Unscheduled Clinic Follow-Ups	Data collected from medical record.	up to 10 weeks
Secondary	Summary of Additional Prescriptions for Stent-Related Symptoms	Data collected from medical record.	up to 10 weeks
Secondary	Summary of Stent Complications		up to 10 weeks
Secondary	Physician Evaluation of Stent: Survey Scores	Physicians will complete a one page survey at the end of the case evaluating the stent. Scores are from 0-5 where higher scores indicate a more positive evaluation.	up to 10 weeks