X-ray-free kidney stone surgery put to the test in 500-patient trial
NCT ID NCT05269108
First seen Jul 30, 2026 · Last updated Aug 14, 2026 · Updated 4 times
Summary
This trial tests whether a common kidney stone procedure called retrograde intrarenal surgery (RIRS) can be performed safely and effectively without using X-ray guidance. Instead, surgeons rely on direct visualization through a tiny camera. The goal is to reduce radiation exposure for both patients and medical staff. The study includes adults with kidney stones at least 10 mm in size and compares stone clearance and complication rates between the standard X-ray-guided approach and the X-ray-free technique.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- a surgical procedure for kidney stones performed under direct visualization without X-ray guidance
- What this could lead to
- If successful, this technique could eliminate radiation exposure during kidney stone surgery for both patients and surgeons.
- What could go wrong
- The trial is testing whether skipping X-ray guidance is as safe and effective as the standard approach; there may be a higher risk of complications or incomplete stone removal.
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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503 people
The number who actually took part.
- Started
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Feb 2022
- Finished
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Apr 2024
- 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 years and older
- 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.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Renal stone. * Stone size: ≥10 mm. Exclusion Criteria: * Partial and complete staghorn stones. * Pregnant women. * Morbid obesity. * Uncorrectable coagulation disorders. * Active urinary tract infection (UTI). * Stone in a calyceal diverticulum. * Urinary tract obstruction distal to the stone. * Concomitant pathology that needs intervention in the same setting.
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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.
Contacts and locations
Locations
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Department of Urology, Al-Azhar University hospitals
Cairo, Egypt
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Could the type of anesthesia make surgery easier for the surgeon?