Stenting After Kidney Stone Removal

This trial aims to determine whether using a stent (a tube to keep the urinary tract open) after kidney stone surgery affects pain and healthcare visits. Some participants will receive a stent, while others will not, to compare outcomes. Individuals who undergo surgery for a kidney stone up to 10 millimeters and can communicate with the study team may be suitable candidates. Participants can also opt for observation, allowing the doctor to decide about the stent during surgery. As an unphased trial, this study offers a unique opportunity to contribute to medical knowledge and potentially improve future treatment options.

The trial protocol does not specify whether you need to stop taking your current medications. However, if you use opiate medication daily for more than 3 months, you may not be eligible to participate.

Research shows that ureteral stents are often used after kidney stone removal procedures. These stents keep the pathway between the kidney and bladder open, allowing it to heal properly. One study found that stents were used in 60% of patients after kidney stone treatment and 80% after other similar procedures. This indicates that using stents is a common practice and is generally well-tolerated by patients.

Studies also suggest that for many people with straightforward procedures, skipping the stent might be safe. This can help avoid the discomfort or irritation that stents sometimes cause. However, when stents are used, they usually don't cause serious problems.

Researchers are excited about this trial because it explores whether avoiding the use of stents after kidney stone removal could be beneficial for patients. Typically, after removing kidney stones, a stent is placed in the ureter to help with urine flow and healing, but stents can cause discomfort and other side effects. This trial is investigating if skipping the stent could reduce these side effects without compromising recovery. If successful, this method could lead to a less invasive approach with fewer complications for patients undergoing kidney stone removal.

This trial will compare the effects of using a ureteral stent versus not using one after kidney stone removal. Studies have shown that a ureteral stent, a small tube, can keep the passage between the kidney and bladder open, preventing blockages and other issues. In this trial, some participants will be randomized to receive a stent. Other research suggests that not using a stent can increase comfort and reduce pain after surgery without raising the risk of complications. Participants may also be randomized to not receive a stent. Patients who did not have a stent reported feeling better and experienced fewer issues like pain and discomfort. Both options offer benefits, so consider how each might affect recovery and comfort.¹³⁶⁷⁸