Using a flexible suction sheath with flexible ureteroscopy for lower-pole kidney stones
Official title: Outcomes of Using Flexible and Navigable Suction Sheath With Flexible Ureteroscopy in Treatment of Lower Calyceal Stones: A Prospective Study
Run by Zagazig University · NCT07238803 · Data updated 2026-11-12
This trial will test whether adding a flexible, navigable suction sheath to flexible ureteroscopy helps adults with lower-pole kidney stones become stone-free more often and avoid repeat procedures.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 33 (estimated) |
| Sponsor | Zagazig University Government |
| Locations | 1 site (Zagazig) |
| Status | Recruiting |
| Started | December 1, 2024 |
| Main results expected | December 1, 2025 |
| Study ends | February 1, 2026 |
| Registry record updated | November 20, 2025 |
| Trial ID | NCT07238803 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 18 years or older with lower calyceal kidney stones who are scheduled for flexible ureteroscopy and do not have active UTI, coagulopathy, or renal/ureteric anomalies.
✕Probably not a fit
Patients with active urinary tract infections, bleeding disorders, renal or ureteric anatomical anomalies, or those who decline participation are unlikely to benefit from this protocol.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
The trial will enroll adult patients with lower calyceal (lower-pole) kidney stones who are scheduled for flexible ureteroscopy (fURS). During the procedure, surgeons will use a flexible, navigable suction ureteral access sheath alongside the fURS to aspirate stone fragments. Key outcomes include postoperative stone-free status, need for secondary interventions, and infectious or bleeding complications; standard exclusions include active urinary infection, coagulopathy, and renal or ureteric anomalies. Procedures and follow-up imaging will be performed at Zagazig University Hospitals to capture procedure success and complications.
Why it matters
Potential benefit: If successful, using a navigable suction sheath could raise stone-free rates, reduce the need for repeat procedures, and lower some procedure-related complications.
How similar studies have gone: Early reports and registry data suggest vacuum-assisted or suction ureteral sheaths can improve stone-free rates and reduce residual fragments, but high-quality randomized evidence is still limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Adult patients ≥ 18 years old. 2. Patients with lower calyceal stones scheduled for FURS. Exclusion Criteria: 1. patients with active urinary tract infections. 2. Patients with renal and ureteric anomalies. 3. patients with coagulopathy 4. patients who are refusing to participate.
Where it's running
-
Zagazig University Hospitals
Zagazig, Egypt Recruiting
Study contacts
- Study coordinator: Mahmoud Ahmed Lasheen, Resident
- Email: ma.ahmed24@fakmed.zu.edu.eg
- Phone: +201069524468
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Investigating how the gut absorbs oxalate in kidney stone patients
This study is trying to see if people with kidney stones absorb more oxalate from their diet than healthy individuals, which might lead to more oxalate in their urine.
-
Using gut bacteria to reduce urinary oxalate in kidney stone patients
This study is testing if introducing a specific gut bacteria can help adults with calcium oxalate kidney stones lower the amount of oxalate in their urine.
-
Suction vs Conventional Ureteral Access Sheaths in Kidney Stone Surgery
This study tests whether using a suction ureteral access sheath during RIRS helps adults clear stones more often and potentially reduces operative time and infections compared with a conventional sheath.
-
Audio consent with human voice or AI-voice added to written consent for ureteroscopy
This study tests if listening to an audio version of the consent form, read by a real urologist or by an AI-cloned voice, helps adults in Turkey understand their ureteroscopy or RIRS consent better than the written form alone.
-
Emergency urinary drainage followed by PCNL in obstructive urosepsis
Doctors test whether the method of emergency drainage (retrograde ureteral stent or percutaneous nephrostomy) affects how well patients do after undergoing definitive PCNL.
-
Nephrostomy Tract Infiltration to Ease Pain After Percutaneous Nephrolithotomy
This trial tests whether injecting local anesthetic into the nephrostomy tract after PCNL helps reduce postoperative pain for adults undergoing the procedure.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.