Management of Fragments During Ureteroscopy

Sheba Medical Center

Status: Completed

Conditions: Urinary Stones

Treatments: Procedure: Ureteroscopy, Holmium laser lithotripsy, no intent to retrieve any remaining fragment; Procedure: Ureteroscopy, Holmium Laser lithotripsy and active retrieval of fragments

Study type: Interventional

Funder types: Other

Identifiers

NCT00637650

4638

Details and patient eligibility

About

The purpose of this study is to study the outcome of patients after ureteroscopy in which all fragments remaining after holmium laser lithotripsy were retrieved compared to those where small, insignificant fragments were left for spontaneous passage.

Sex: All

Ages: 16+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patient with ureteral stones suitable for endoscopic treatment

Exclusion criteria

• presence of ipsilateral kidney stones
• known ureteral stricture
• previous placement of ureteral stent
• use of drugs with known activity on smooth ureteral muscle
• unwillingness or impossibility to return for follow-up

Trial design

0 participants in 2 patient groups

B

Experimental group

Description:

Experimental group: patients in whom "stone dust" was left for spontaneous elimination

Treatment:

Procedure: Ureteroscopy, Holmium laser lithotripsy, no intent to retrieve any remaining fragment

A

Other group

Description:

Control group: Patients in whom all fragments resulting from laser lithotripsy of ureteral stones were actively retrieved

Treatment:

Procedure: Ureteroscopy, Holmium Laser lithotripsy and active retrieval of fragments