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One cut or many? a surgical showdown for complex kidney stones
NCT ID NCT07753733
First seen Aug 07, 2026 · Last updated Sep 02, 2026 · Updated 7 times
Summary
This trial compares two surgical techniques for removing complex kidney stones: a single-tract approach using a flexible scope versus the traditional multi-tract method. The goal is to see if the less invasive single-tract procedure can achieve similar stone-free rates at three months while potentially reducing complications. Adults aged 18-70 with complex unilateral kidney stones are eligible to participate.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Flexible Nephroscopy-Assisted Single-Tract PCNL (a surgical procedure using a single access point with a flexible scope) compared to Conventional Multi-Tract PCNL (a surgical procedure using multiple access points with a rigid scope)
- What this could lead to
- If successful, this could establish a less invasive surgical option for complex kidney stones, potentially reducing bleeding and hospital stays while maintaining similar stone removal rates.
- What could go wrong
- The single-tract approach might not clear all stones as effectively as multiple tracts, and the trial's results depend on surgeon skill and patient anatomy. Complications like bleeding or infection are possible with any kidney stone surgery.
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 470 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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Aug 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: * Age 18-70 years. Unilateral complex renal stones defined by one or more of the following: Guy's Stone Score III-IV, S.T.O.N.E. score ≥9, staghorn or partial staghorn calculus, or stones involving at least 3 calyces on NCCT. Preoperative expectation of multiple accesses by the surgeon. Written informed consent. Exclusion Criteria: Solitary kidney. Uncorrected coagulopathy. Active urinary tract infection. ASA grade IV or higher. Pregnancy. Previous ipsilateral PCNL or open renal surgery. Stones less than 2 cm or simple calyceal stones. Refusal or inability to comply with follow-up. \-
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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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Other studies related to the condition(s) this trial covers.
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- 3D tech could help surgeons clear kidney stones completely