Evaluation of the LithoVue Elite Ureteroscope with Real-Time Intra-Renal Pressure Monitoring: Impact on Surgeon Behavior and Post-Operative Outcomes

What this Trial Is About

Researchers are evaluating how having real-time intrarenal pressure (IRP) measurement available during ureteroscopy affects surgeons' behavior when using the LithoVue Elite disposable ureteroscope. The study aims to understand whether this new technology impacts surgical decisions and patient outcomes during treatment for kidney stones or nephrolithiasis. This research also addresses the importance of surgeons' non-technical skills in preventing adverse events in the operating room. Participants will be randomly assigned to one of two groups. In the first group, surgeons will perform ureteroscopy with the LithoVue Elite device while seeing real-time IRP monitoring information. In the second group, surgeons will use the same device but without access to the IRP monitoring data. All procedures and follow-up visits will follow standard care practices for both groups. During the study, researchers will observe surgeon behavior using the Non-Technical Skills for Surgeons (NOTSS) score and look at decision-making differences. They will also monitor patient outcomes such as post-operative infections, pain levels using a visual analog scale, opioid use, and complications up to 30 days after surgery. This approach helps assess both surgical performance and patient safety over the short term.

Evaluation of the LithoVue Elite Ureteroscope With Intra-Renal Pressure Monitoring Technology: Examination of Surgeon Behavior and Post-operative Outcomes