Study Comparing Patient Outcomes With and Without Stent After Using Ureteral Access Sheath in Kidney and Ureter Stone Treatment

What this Trial Is About

Researchers are comparing patient-reported outcomes for leaving out a stent versus placing a stent after using a ureteral access sheath during uncomplicated ureteroscopy for kidney or ureteral stones. This study evaluates pain interference and intensity as reported by patients, along with healthcare use within 30 days after the procedure. Participants will have a ureteral access sheath used during their ureteroscopy, with the sheath size decided by the surgeon. Ureteral injury will be assessed at the end of surgery using the Post Ureteroscopic Lesion Scale PULS. Patients with low-grade injury PULS 0 or 1 will be randomly assigned to either receive a stent or have no stent placed after the procedure. When stents are placed, the type and whether to leave a tether string will be determined by the surgeon. Participants will complete surveys before surgery and at several time points afterward, including daily up to 7-10 days or until stent removal, and again at 30 days. Researchers will collect data on pain, urinary symptoms, social activities, treatment satisfaction, days off work, and healthcare use. Medical records will also be reviewed, and safety and stone clearance will be monitored up to 60 days after the procedure.

Access Sheath and Stent Trial