Stent before surgery: a new test for kidney stone treatment
NCT ID NCT07773090
First seen Aug 19, 2026 · Last updated Aug 21, 2026 · Updated 2 times
Summary
This trial tests whether placing a temporary stent in the ureter a week or two before kidney stone surgery helps clear stones more completely than going straight to surgery. Adults with a single kidney stone between 10 and 20 mm will be randomly assigned to either pre-stenting or direct surgery. The study tracks stone-free rates, complications, and recovery to see if the extra step is worthwhile.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Preoperative double-J ureteral stenting followed by retrograde intrarenal surgery
- What this could lead to
- If pre-stenting proves beneficial, it could become a standard step before kidney stone surgery, improving success rates and reducing complications.
- What could go wrong
- The trial is relatively small and may not account for all patient variations. Pre-stenting can cause discomfort and urinary tract infections, and the benefit over direct surgery is uncertain.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 270 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Aug 2026
- Expected to finish
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Nov 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 70 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Participants must meet all of the following criteria: * Adults aged 18-70 years. * Unilateral renal calculi. * Maximum total renal stone burden of 10-20 mm. * Planned treatment with RIRS. * Suitable candidate for elective endoscopic stone treatment. * Negative or appropriately treated preoperative urine culture. * Ability to provide written informed consent. * Ability and willingness to comply with postoperative follow-up, including non-contrast CT at 4 weeks after the final RIRS procedure. Exclusion Criteria: * Participants will be excluded for any of the following: * Bilateral renal calculi requiring simultaneous surgical treatment. * Active urinary tract infection, sepsis, or infected obstruction requiring urgent drainage. * Solitary kidney when randomization is considered clinically unsafe. * Known ureteral stricture or congenital ureteral abnormality likely to interfere with ureteroscopic access. * Previous failed ipsilateral ureteroscopic access requiring clinically indicated pre-stenting. * Existing ipsilateral ureteral stent or nephrostomy. * Previous ureteral reconstruction or urinary diversion. * Total renal stone burden greater than 20 mm. * Staghorn calculi. * Uncorrected coagulopathy. * Pregnancy. * Severe uncorrected cardiopulmonary disease precluding anesthesia. * Inability or unwillingness to provide informed consent. * Inability or unwillingness to comply with follow-up. * Any other condition judged by the treating surgeon to make randomization or RIRS clinically inappropriate or unsafe.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Department of Urology, Al-Hussein and Sayed Galal University Hospitals, Al-Azhar University
RECRUITINGCairo, Egypt
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