Ureteroscopy and stone treatment in the elderly (≥70 years): prospective outcomes over 5- years with a review of literature.
Sarah Prattley, James Voss, Stephanie Cheung...
https://pubmed.ncbi.nlm.nih.gov/29522293Actively Recruiting
Led by University of Southampton · Updated on 2026-05-11
50
Participants Needed
2
Research Sites
N/A
Total Duration
U
University of Southampton
Lead Sponsor
U
University Hospital Southampton NHS Foundation Trust
Collaborating Sponsor
Ureteric stents and catheters are commonly used to restore urinary drainage in patients with kidney stones or cancers pressing on the ureters. These devices often cause complications like inflammation, pain, and infections, which negatively affect quality of life and increase antibiotic use. Device-associated encrustation and biofilm formation lead to urinary tract infections in more than 90% of cases, causing stent blockages and contributing to antibiotic resistance. This research aims to study a novel ureteric stent designed to reduce these complications and improve patient outcomes, particularly in elderly and oncology patients. The trial evaluates an experimental ureteric stent with specially shaped side-holes that prevent low-flow areas where particles settle, reducing encrustation and biofilm formation. Patients with kidney stones or abdominal/pelvic cancers requiring stents will receive this novel stent instead of a conventional JJ stent. The stent will be removed after 4 weeks for kidney stone patients and after 25 weeks for oncology patients. Recruitment for the oncology group starts after reviewing kidney stone patient results. Additionally, qualitative interviews will be conducted with patients and doctors about their stent experiences. Participants will be monitored from enrolment until stent removal, with assessments of stent failure rates, extent of encrustation and biofilm, clinical outcomes, quality of life, and patient experiences. Questionnaires will be completed 2-3 weeks after stent removal. The study includes multiple visits and data collection to understand the impact of the novel stent. Researchers aim to reduce hospital admissions, improve quality of life, and decrease antibiotic use through this innovative device, with follow-up lasting up to 25 weeks for oncology patients.
CONDITIONS
A Novel Ureteric Stent in Kidney Stone Patients and Oncology Patients Compared to a Conventional JJ Stent
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Complete this quick 3-step screening to check your eligibility
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - 4 weeks for Kidney Stone cohort, 25 weeks for Oncology cohort
Participants receive a novel ureteric stent inserted to manage kidney stones or urine drainage caused by abdominal or pelvic cancers.
1 stent insertion visit
Duration - 2 to 3 weeks after stent removal
Participants have their novel ureteric stent removed after the treatment period and complete follow-up assessments including patient questionnaires to evaluate stent performance, encrustation, biofilm formation, clinical outcomes, and quality of life.
1 to 2 visits depending on cohort
Total: 2 locations
1
University Hospital Southampton
Southampton, England, United Kingdom, SO16 6YD
Actively Recruiting
2
University College Hospital London
London, London, United Kingdom, W1G 8PH
Actively Recruiting
A
Ali Mosayyebi
S
Sophie Varkonyi-Clifford
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NON_RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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