Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
ID05866081

Stent Omission After Ureteroscopy and Lithotripsy in the Michigan Urological Surgery Improvement Collaborative (SOUL MUSIC)

Led by University of Michigan · Updated on 2025-12-15

792

Participants Needed

16

Research Sites

N/A

Total Duration

On this page

Sponsors

U

University of Michigan

Lead Sponsor

P

Patient-Centered Outcomes Research Institute

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are evaluating patient-reported outcomes and unplanned healthcare use after ureteroscopic treatment for kidney and ureteral stones. This study compares outcomes between patients who receive a ureteral stent after surgery and those who do not. The trial includes both randomized and observational groups, with hypotheses focused on differences in pain interference and healthcare utilization between these groups. Participants in the randomized group are assigned to either receive a stent or have no stent placed, provided no complications occur during ureteroscopy. Patients in the observational group receive treatment decisions based on their physician's usual practice. The study excludes participants who experience certain complications during surgery, such as ureteral perforation or significant bleeding. During participation, patients complete surveys about pain, quality of life, and their experiences following ureteroscopy. Clinical data before, during, and after surgery are collected. The main outcomes measured include changes in pain interference at 7 to 10 days post-surgery and unplanned healthcare visits within 30 days. Additional assessments of pain, urinary symptoms, treatment satisfaction, and time off work are conducted up to 4 to 6 weeks after surgery.

CONDITIONS

Brief Title

Stent Omission After Ureteroscopy and Lithotripsy in the Michigan Urological Surgery Improvement Collaborative

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Undergoing unilateral ureteroscopy and lithotripsy for stone disease
  • Largest stone 10 millimeters or smaller based on imaging
  • Access to communication methods like email, text, or phone
  • Able to understand English and complete study surveys independently
  • Provide written informed consent
Not Eligible

You will not qualify if you...

  • Planned bilateral ureteroscopy
  • Having an indwelling ureteral stent or nephrostomy tube before surgery
  • Anatomic abnormalities of the upper urinary tract like horseshoe kidney or urinary diversion
  • Having only one functioning kidney
  • Planned secondary or staged ureteroscopy
  • Planned use of ureteral access sheath
  • Pregnancy
  • Daily use of opiate medication for over 3 months for pain
  • Ureteral perforation during surgery
  • Unexpected anatomic abnormalities found during surgery
  • Excessive bleeding during surgery
  • Ureteral dilation over 12 French
  • Use of ureteral access sheath during surgery
  • Failed or incomplete ureteroscopy or lithotripsy
  • Unable to complete surgery due to medical or anesthetic issues

AI-Screening

AI-Powered Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Implementation

Duration - Day of surgery

Participants undergo ureteroscopy and lithotripsy for stone disease. Based on randomization and eligibility during surgery, participants either have a ureteral stent placed or do not have a stent placed.

1 visit (in-person)

Post-operative Follow-up

Duration - Up to 6 weeks after surgery

Participants complete surveys evaluating pain, quality of life, and experiences following ureteroscopy, along with routine clinical data collection during the recovery period.

Visits and surveys at postoperative days 7-10 and 4-6 weeks

Trial Site Locations

Total: 16 locations

1

University of Arizona

Tucson, Arizona, United States, 85724

Actively Recruiting

2

UF Health Shands Hospital

Gainesville, Florida, United States, 32608

Actively Recruiting

3

Indiana University Department of Urology

Indianapolis, Indiana, United States, 46202

Actively Recruiting

4

University of Michigan Health System

Ann Arbor, Michigan, United States, 48111

Actively Recruiting

5

University of Michigan Health System

Brighton, Michigan, United States, 48116

Actively Recruiting

6

Cadillac Munson Hospital

Cadillac, Michigan, United States, 49601

Actively Recruiting

7

St. Joseph Health System Chelsea Hospital

Chelsea, Michigan, United States, 48118

Actively Recruiting

8

St. Joseph Mercy Health (Trinity)

Chelsea, Michigan, United States, 48118

Actively Recruiting

9

Henry Ford Health System

Detroit, Michigan, United States, 48202

Actively Recruiting

10

Corewell Health Buttersworth Hospital

Grand Rapids, Michigan, United States, 49503

Actively Recruiting

11

E.W Sparrow Hospital

Lansing, Michigan, United States, 48912

Actively Recruiting

12

MyMichigan Medical Center Midland

Midland, Michigan, United States, 48670

Actively Recruiting

13

Michigan Institute of Urology Town Center Ambulatory Surgery Center

Troy, Michigan, United States, 48084

Actively Recruiting

14

Monte Fiore

Brooklyn, New York, United States, 10467

Actively Recruiting

15

Mount Sinai

New York, New York, United States, 10029

Actively Recruiting

16

UNC Hospital

Chapel Hill, North Carolina, United States, 27514

Actively Recruiting

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Research Team

E

Elaina Shoemaker

S

Sabrina Clark

How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

3

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Published Research Related To This Trial

Stent Omission after Ureteroscopy and Lithotripsy (SOUL) in the Michigan Urological Surgery Improvement Collaborative (MUSIC): study protocol for a pragmatic prospective combined randomized and observational clinical trial.

Russell E N Becker, Stephanie Daignault-Newton, Elaina Shoemaker...

https://pubmed.ncbi.nlm.nih.gov/39633425