Pre-Op Sildosine and Ureteral Dilation During F-URS

NCT ID: NCT05798572

Last Updated: 2023-07-11

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

140 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-03-01

Study Completion Date

2023-03-01

Brief Summary

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We proposed that silodosin administration preoperatively may facilitate ureteral access sheath (UAS) placement prior to flexible ureteroscopy (F-URS) and decrease the incidence of ureteric injury in some difficult cases.

Detailed Description

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Urolithiasis is a common urological disorder in the world and has a significant effect on the global health system. The goal of treatment is to achieve the highest stone-free rate (SFR) with the least invasive. Per¬cutaneous nephrolithotomy and flexible ureterorenoscopy (F-URS) are the two main minimally invasive procedures for the treatment of upper urinary tract stones.

The challenging step in flexible ureterorenoscopy (F-URS) is ureteroscopic access sheath (UAS) placement, which facilitates fast and safe access to the ureter and collecting system; improves visibility; reduces the risk of infection by reducing intrarenal pressure. However, in some cases, the acute ureteric injury may occur during ureteroscopic access sheath (UAS) placement.

Conditions

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FURS Ureteral Dilatation Sildosine

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Sildosin group

included 70 patients for whom flexible ureteroscopy (F-URS) was done with the daily preoperative intake of 8 mg silodosin for one week.

Group Type EXPERIMENTAL

Sildosin group

Intervention Type DRUG

Patients in this group had flexible ureteroscopy (F-URS) with preoperative daily uptake of 8 mg silodosin for one week.

Placebo/control group

included 70 patients for whom flexible ureteroscopy (F-URS) was done with daily preoperative intake of placebo tablets.

Group Type EXPERIMENTAL

Placebo/control group

Intervention Type PROCEDURE

included 70 patients for whom flexible ureteroscopy (F-URS) was done with daily preoperative intake of placebo tablets.

Interventions

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Sildosin group

Patients in this group had flexible ureteroscopy (F-URS) with preoperative daily uptake of 8 mg silodosin for one week.

Intervention Type DRUG

Placebo/control group

included 70 patients for whom flexible ureteroscopy (F-URS) was done with daily preoperative intake of placebo tablets.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Upper ureteric stone or stone kidney (with stone burden equal to or less than 20mm).
* 2\. Non stented.
* Age (Above 18 years old).

Exclusion Criteria

* Acute or chronic renal insufficiency.
* Uncorrected coagulopathy.
* Previous open (lumber or ureteric) surgery.
* Active urinary tract infection unless treated.
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Benha University

OTHER

Sponsor Role lead

Responsible Party

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Tamer Abd El-Wahab Diab

Lecturer of Urology, Faculty of Medicine, Benha University, Benha, Egypt

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Benha University Hospitals

Banhā, Benha, Egypt

Site Status

Countries

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Egypt

Other Identifiers

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Ms: 7-12-2022

Identifier Type: -

Identifier Source: org_study_id

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