Study tests two drugs to improve kidney stone removal
NCT ID NCT03229889
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested whether giving tadalafil (Cialis) and/or tamsulosin (Flomax) before kidney stone surgery helps doctors place a larger tube into the ureter, which can make the procedure safer and more effective. 220 adults undergoing surgery for kidney stones were randomly assigned to receive one or both drugs or a placebo. The goal was to see if these medications relax the ureter enough to allow a bigger access sheath, potentially reducing complications and improving 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
-
Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
-
220 people
The number who actually took part.
- Started
-
Jun 2017
- Finished
-
Mar 2022
- Lead sponsor
-
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
-
18 to 99 years
- Sex
-
Anyone
- Healthy volunteers
-
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: * Patients undergoing percutaneous nephrolithotomy (PCNL) or ureteroscopy (URS) for renal or proximal ureteral urolithiasis * A documented sterile urine culture within 1-2 weeks of the procedure * ≥ 18 years old * Ability to understand and the willingness to sign a written informed consent Exclusion Criteria: \- Patients \< 18-years-old * Presence of ureteral stent or nephrostomy tube prior to scheduled procedure * Patients requiring open, endoscopic, or laparoscopic procedure in the same setting as the intended URS or PCNL * Planned concurrent bilateral endoscopic ureteral procedures * Patients currently taking alpha-blockers within 14 days of surgery * Patients taking PDE-5 inhibitors within 14 days of surgery * Pregnant women * Active urinary tract infection (UTI) or uncontrolled HIV * Uncorrected coagulopathy * Patients who cannot stop their blood thinners, and/or non-steroidal anti-inflammatory medications 5-7 days prior to the procedure * Patients allergic to tamsulosin or tadalafil * Patients with upcoming cataract surgery due to risk of floppy iris syndrome * Patients with history of priapism * Patients with hereditary retinitis pigmentosa * Patients concurrently using nitrates for myocardial infarction (MI) or angina * Patients with high risk cardiovascular disease: left ventricular outflow obstruction, MI in last 90 days, unstable angina, stroke in last 6 months, uncontrolled arrhythmias * Patients with renal impairment (CrCl \< 30 mL/min) or severe hepatic impairment (Child-Pugh score ≥ 10) * Patients using CYP3A4 inhibitors such as clarithromycin, ritonavir, ketoconazole, or Iitraconazole
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Nephrolithiasis are added.
Genom att skicka in godkänner du våra Användarvillkor
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
-
UC Irvine Health
Orange, California, 92868, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a single drug dose curb opioid side effects after kidney stone surgery?
- Can a thinner scope make kidney stone surgery easier and cheaper?
- Which kidney stone surgery causes more Pre-Op worry?
- Can a phosphate binder curb kidney stone risk?
- Can medical glue replace the drainage tube in kidney stone surgery?
- Can watching and waiting beat surgery for silent kidney stones?