RIRS With Flex Suction Sheath vs. PCNL for 2-3 cm Renal Stones
This is a multicenter, randomized controlled trial comparing retrograde intrarenal surgery (RIRS) using a tip-flexible suction access sheath with standard percutaneous nephrolithotomy (PCNL) for the treatment of 2-3 cm unilateral renal stones. The aim is to evaluate the clinical efficacy and safety of the novel suction
| Condition(s) | Nephrolithiasis |
|---|---|
| Status | Recruiting |
| Phase | NA |
| Study type | Interventional |
| Summary | This is a multicenter, randomized controlled trial comparing retrograde intrarenal surgery (RIRS) using a tip-flexible suction access sheath with standard percutaneous nephrolithotomy (PCNL) for the treatment of 2-3 cm unilateral renal stones. The aim is to evaluate the clinical efficacy and safety of the novel suction sheath-assisted RIRS compared to standard PCNL in terms of stone-free rate and postoperative complications. A total of 308 patients will be enrolled across four centers in China. |
| Who can participate | Inclusion Criteria: 1. Age between 18 and 80 years 2. American Society of Anesthesiologists (ASA) physical status classification of I-III 3. Single renal stone with a diameter between 2-3 cm confirmed by non-contrast CT scan 4. Signed written informed consent and willingness to comply with study procedures Exclusion Criteria: 1. Anatomical abnormalities of the urinary tract (e.g., horseshoe kidney, ileal conduit) 2. Uncontrolled urinary tract infection 3. Absolute contraindications for RIRS or PCNL 4. Inability to understand or complete study documentation 5. Failure to follow study protocol or attend follow-up 6. Patients requiring urgent rescue or at high risk for irreversible harm during surgery 7. Patients who voluntarily withdraw from the study |
| Ages | 18 Years to 80 Years |
| Sex | All |
| Lead sponsor | Changhai Hospital |
| Locations | Shanghai, Shanghai Municipality, China |
| Start date | 2025-04-01 |
| NCT ID | NCT07058402 |
| Official listing | https://clinicaltrials.gov/study/NCT07058402 |