Kidney Stones Clinical Trial
Official title:
Post FDA-Approval Clinical Evaluation of BackStopTM in Patients Undergoing Ureteroscopic Lithotripsy: A Prospective, Randomized Clinical Trial
The purpose of this clinical study is to evaluate BackStop, a polymer-based device that is intended to be used during ureteroscopic lithotripsy to prevent retrograde stone migration.
During ureteroscopic treatment for ureteral stones, lithotripsy, irrigation, and manipulation
of the stone often pushes stone away into the kidney itself. This phenomenon is called
retropulsion, which is defined as clinically significant retrograde migration of stone or
stone fragments. Movement of stones retrograde into the renal pelvis could potentially add
and complicate the surgery further. Often scopes need to be changed in order to reach the
stone, and chasing these stones will add time to the surgery and require more valuable
resources. Furthermore, sometimes a second operation will need to be done when these
retropulsed fragments could not be all found and cleaned out.
A number of devices have been developed to prevent such migration including stone baskets and
conical devices. These are wire-based devices which have the potential of injuring the
ureter. Because of safety concerns and that there is limited data available on the
effectiveness of these devices; these are not widely used by urologists. BackStop has
recently been developed as another tool to prevent retropulsion. It is a water soluble gel
that is injected proximal to the stone. This creates a physical barrier that prevents stone
migration during ureteroscopic lithotripsy for ureteral calculus.
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