Effect of Negative Pressure Suction on Fluid Absorption and Infection in Flexible Ureteroscopy
Impact of Negative Pressure Suction on Irrigation Fluid Absorption and Postoperative Infection Risk During Flexible Ureteroscopic Lithotripsy: A Prospective Cohort Study
1 other identifier
observational
400
1 country
1
Brief Summary
The goal of this observational study is to learn about the effects of using negative pressure suction during retrograde intrarenal surgery (RIRS) in patients aged 18 and older with kidney stones. The main questions it aims to answer are:
- 1.Does using negative pressure suction during surgery affect the amount of irrigation fluid absorbed by the patient's body?
- 2.Does using negative pressure suction reduce the risk of postoperative infections, such as fever, systemic inflammatory response syndrome (SIRS), and urosepsis? Researchers will compare patients who undergo surgery with a negative pressure suction sheath to patients who undergo surgery with a standard sheath (without suction) to see if the suction technology reduces fluid absorption and lowers the risk of postoperative complications.
- 3.Preoperative test results (such as CT scans, ultrasounds, and urine tests).
- 4.Intraoperative data (such as surgery duration and the exact amount of fluid absorbed, measured by a monitoring device).
- 5.Postoperative recovery data (such as body temperature, pain levels, hospital stay length, and any signs of infection).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Mar 2026
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
March 9, 2026
CompletedFirst Submitted
Initial submission to the registry
March 19, 2026
CompletedFirst Posted
Study publicly available on registry
March 25, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 30, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
July 7, 2027
March 25, 2026
March 1, 2026
1.3 years
March 19, 2026
March 19, 2026
Conditions
Outcome Measures
Primary Outcomes (1)
Volume of irrigation fluid absorbed
Intraoperative (During the surgery)
Secondary Outcomes (3)
Incidence of postoperative fever and infectious complication
Up to 7 days postoperatively
ostoperative length of hospital stay
From surgery to hospital discharge (an average of 3-7 days)
Stone-free rate (SFR)
1 month postoperatively
Study Arms (2)
Negative Pressure Suction Sheath Group
Patients who undergo retrograde intrarenal surgery (RIRS) using a ureteral access sheath with a negative pressure suction system.
Standard Ureteral Access Sheath Group
Patients who undergo retrograde intrarenal surgery (RIRS) using a standard ureteral access sheath without a negative pressure suction system.
Eligibility Criteria
Adult patients (typically aged 18 years and older) diagnosed with renal and/or upper ureteral stones who are scheduled to undergo retrograde intrarenal surgery (RIRS) at the urology department.
You may qualify if:
- Patients aged 18 years and older with kidney stones who meet the surgical indications for RIRS;
- Patients who have provided informed consent.
You may not qualify if:
- Concurrent combination with other surgical procedures, such as percutaneous nephrolithotomy (PCNL);
- Patients with malignancies, urinary tuberculosis, immune system diseases, or hyperthyroidism;
- Congenital renal anomalies, such as polycystic kidney disease or horseshoe kidney;
- Presence of untreated urinary tract infections;
- Inability to tolerate surgery due to severe cardiopulmonary dysfunction, hepatic or renal insufficiency, or coagulation abnormalities.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Lanzhou University Second Hospital
Lanzhou, Gansu, 730030, China
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Target Duration
- 7 Days
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor; Chief Physician
Study Record Dates
First Submitted
March 19, 2026
First Posted
March 25, 2026
Study Start
March 9, 2026
Primary Completion (Estimated)
June 30, 2027
Study Completion (Estimated)
July 7, 2027
Last Updated
March 25, 2026
Record last verified: 2026-03