VISOR Versus PCNL for Treatment of 2-4cm Renal Stones

NCT ID: NCT07159503

Last Updated: 2025-09-12

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

ENROLLING_BY_INVITATION

Clinical Phase

NA

Total Enrollment

170 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-04-20

Study Completion Date

2027-08-20

Brief Summary

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The goal of this clinical trial is to learn if the Vortex Intelligence Stone Optimized Removal (VISOR) works safely and effectively to treat kidney stones that are 2 to 4 centimeters in size in kidney. This study will also look at how VISOR compares to the standard surgery, percutaneous nephrolithotomy (PCNL).

The main questions it aims to answer are:

How many participants are stone-free within 24 hours after surgery?

How many participants are stone-free 1 month after surgery?

What side effects or problems, such as pain, fever, or ureter injury, happen with VISOR compared to PCNL?

Does VISOR help keep kidney pressure stable during surgery?

Researchers will compare VISOR to PCNL to see which treatment works better and is safer.

Participants will:

Be randomly assigned to have surgery with either VISOR or PCNL.

Have imaging tests, such as CT scans or ultrasound, after surgery to check if stones were cleared.

Return for follow-up visits about 2 weeks and 1 month after surgery to check recovery and repeat imaging.

About 170 people will take part in this study at cooperative hospitals.

Detailed Description

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Conditions

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Kidney Calculi Kidney Stones

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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Experimental: VISOR

Participants will undergo Vortex Intelligence Stone Optimized Removal.

Group Type EXPERIMENTAL

Vortex Intelligence Stone Optimized Removal

Intervention Type PROCEDURE

Vortex Intelligence Stone Optimized Removal integrates irrigation-suction, pressure monitoring-control, and lithotripsy-stone removal functions, aiming to improve stone clearance efficiency, stabilize intrapelvic pressure, and reduce complications.

PCNL Group

Participants undergo standard percutaneous nephrolithotomy (PCNL) for renal stone removal.

Group Type ACTIVE_COMPARATOR

Percutaneous Nephrolithotomy (PCNL)

Intervention Type PROCEDURE

A standard PCNL technique will be performed according to institutional practice guidelines.

Interventions

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Vortex Intelligence Stone Optimized Removal

Vortex Intelligence Stone Optimized Removal integrates irrigation-suction, pressure monitoring-control, and lithotripsy-stone removal functions, aiming to improve stone clearance efficiency, stabilize intrapelvic pressure, and reduce complications.

Intervention Type PROCEDURE

Percutaneous Nephrolithotomy (PCNL)

A standard PCNL technique will be performed according to institutional practice guidelines.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Patients with upper urinary tract calculi, where the maximum diameter of a single calculus or the cumulative diameter of multiple calculi is 2-4 cm
* Age between 18 and 80 years, regardless of gender
* Mentally sound and able to comprehend study details and provide informed consent

Exclusion Criteria

* Presence of ureteral stricture or history thereof
* Previous open or laparoscopic renal and/or ureteral surgery
* Fever (body temperature ≥ 38℃) due to urinary tract infection or other causes within one week prior to surgery
* Pregnancy, lactation, or menstruation at the time of surgery
* ASA classification \> Grade 3, indicating severe systemic disease that contraindicates anesthesia or surgery
* Renal anatomical anomalies such as polycystic kidney, horseshoe kidney, or ectopic kidney
* Coagulation dysfunction (e.g., INR \> 1.5 or platelet count \< 80 × 10⁹/L)
* Intraoperative failure to successfully place the ureteral access sheath
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Second Affiliated Hospital, School of Medicine, Zhejiang University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Bohan Wang, MD., Ph.D

Role: PRINCIPAL_INVESTIGATOR

2nd Affiliated Hospital, School of Medicine, Zhejiang University, China

Locations

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2nd Affiliated Hospital, School of Medicine, Zhejiang University

Hangzhou, Zhejiang, China

Site Status

Countries

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China

Other Identifiers

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2025-134

Identifier Type: -

Identifier Source: org_study_id

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