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CTRI Number  CTRI/2025/03/082683 [Registered on: 19/03/2025] Trial Registered Prospectively
Last Modified On: 18/03/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   To compare the outcomes of two techniques of stone surgery in patients with kidney stones 
Scientific Title of Study   Comparative analysis of outcomes with Suctioning vs non-suctioning ureteral access sheath in retrograde intrarenal surgeries 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Varun Agarwal 
Designation  Registrar, Department of Urology 
Affiliation  Kasturba Medical College, Manipal 
Address  Room 14, Department of Urology, Kastubra Hospital, Manipal

Udupi
KARNATAKA
576104
India 
Phone  7895692678  
Fax    
Email  dr.varunagarwal.uro@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Arun Chawla 
Designation  Professor, Department of Urology 
Affiliation  Kasturba Medical College, Manipal 
Address  Room 14, Department of Urology, Kastubra Hospital, Manipal

Udupi
KARNATAKA
576104
India 
Phone    
Fax    
Email  urologyarun@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  Varun Agarwal 
Designation  Registrar, Department of Urology 
Affiliation  Kasturba Medical College, Manipal 
Address  Room 14, Department of Urology, Kastubra Hospital, Manipal


KARNATAKA
576104
India 
Phone  7895692678  
Fax    
Email  dr.varunagarwal.uro@gmail.com  
 
Source of Monetary or Material Support  
Kasturba Medical College, Manipal, Udupi - Hebri Rd, Madhav Nagar, Manipal, Karnataka 576104 
 
Primary Sponsor  
Name  Manipal Academy of Higher Education Udupi 
Address  Kasturba Medical College, Manipal, Udupi, Karnataka 
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Varun Agarwal  Kasturba Medical College  Department of Urology, Room 14, Kasturba Hospital, Kasturba Medical College, Manipal, Udupi
Udupi
KARNATAKA 
7895692678

dr.varunagarwal.uro@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, Kasturba Medical College  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: N200||Calculus of kidney,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Access sheath without suction  Traditional access sheath 
Intervention  RIRS without suction access sheath  RIRS with suction access sheath 
 
Inclusion Criteria  
Age From  10.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  1. Patients undergoing RIRS at KMC Hospital, Manipal
2. Stone size: less than 2.0cm, max diameter is any one one dimension
3. Pre stented status.
 
 
ExclusionCriteria 
Details  1. Uncorrected coagulopathy.
2. Active UTI
3. Large stone burden greater than 2.0cm
4. Failure of previous treatment
5. Ureteric malformations or anomalous renal anatomy including
low lying kidneys or kidneys with calyceal diverticulae
6. Pregnancy
7. Patients who have undergone ureteral repair surgeries
8. Surgeries converted to PCNL. 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Stone free rates The percentage of patients with no
residual stones or fragments less than 2mm after surgery as assessed by a follow up NCCT KUB 
1 month 
 
Secondary Outcome  
Outcome  TimePoints 
Surgeon Assessment Questionnaire to record surgeon experience with
and without suction 
1 day 
Operative time from the insertion of the endoscope to its removal  1 day 
Hospital stays in hours  1 day 
Difference in infective & renal function parameters with appropriate tests  1 day 
 
Target Sample Size   Total Sample Size="46"
Sample Size from India="46" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial    
Date of First Enrollment (India)   30/03/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   Patients eligible for Retrograde Intrarenal Surgery will be identified from both the OPD and indoor services at KMC Manipal We will offer potential participants the choice of undergoing the RIRS procedure as part of their treatment for renal calculi 
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