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CTRI Number  CTRI/2026/04/108750 [Registered on: 20/04/2026] Trial Registered Prospectively
Last Modified On: 18/04/2026
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comparison of two modalities of endoscopic renal stone surgery. 
Scientific Title of Study   Prospective randomised controlled trial to evaluate the efficay of a flexible and navigable suction ureteric access sheath on renal stone clearance compared to conventional access sheath in adult patients of renal stone disease undergoing Retrograde Intrarenal Surgery (RIRS). 
Trial Acronym  FANS vs Conventional UAS 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  DR VIPIN CHANDRA 
Designation  Associate Professor 
Affiliation  AIIMS PATNA 
Address  Room No - 341, Urology OPD, AIIMS Patna Phulwari sharif
phulwari sharif patna
Patna
BIHAR
801505
India 
Phone  08442840839  
Fax    
Email  ccchandra2001@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DR VIPIN CHANDRA 
Designation  Associate Professor 
Affiliation  AIIMS PATNA 
Address  Room No - 341, Urology OPD, AIIMS Patna Phulwari sharif
phulwari sharif patna
Patna
BIHAR
801505
India 
Phone  08442840839  
Fax    
Email  ccchandra2001@gmail.com  
 
Details of Contact Person
Public Query
 
Name  DR VIPIN CHANDRA 
Designation  Associate Professor 
Affiliation  AIIMS PATNA 
Address  Room No - 341, Urology OPD, AIIMS Patna Phulwari sharif
phulwari sharif patna
Patna
BIHAR
801505
India 
Phone  08442840839  
Fax    
Email  ccchandra2001@gmail.com  
 
Source of Monetary or Material Support  
AIIMS Patna, Phulwari sharif, 801507 
 
Primary Sponsor  
Name  AIIMS PATNA 
Address  Neae WALMI, Phulwari sharif patna 
Type of Sponsor  Research institution 
 
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 Vipin Chandra   AIIMS Patna  Department of Urology All India Institute of Medical sciences, Patna-801507
Patna
BIHAR 
8442840839

ccchandra2001@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
aiimspatna  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  Conventional ureteric access sheath in adult patients of renal stone disease undergoing Retrograde Intrarenal Surgery (RIRS)  Use of conventional UAS, to evaluate their efficacyin adult patients of renal stone disease undergoing Retrograde Intrarenal Surgery (RIRS) for a period of 2 years. 
Intervention  Flexible and Navigable suction ureteric access sheath in adult patients of renal stone disease undergoing Retrograde Intrarenal Surgery (RIRS)  A specially designed flexible and navigable suction ureteric access sheath (FANS-UAS) is being compared with conventional UAS, to evaluate their efficacyin adult patients of renal stone disease undergoing Retrograde Intrarenal Surgery (RIRS) for a study period of 2 years.  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Patients having renal stone planned for retrograde intrarenal surgery 
 
ExclusionCriteria 
Details  Pregnant female
Acute Infection/UTI
Coagulopathy
Anatomical anomaly 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Case Record Numbers 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Stone-free rate at 1st postoperative day and on day 30 after surgery.  Postoperative day 1 and
Postoperative day 30 
 
Secondary Outcome  
Outcome  TimePoints 
Post operative fever
operative fever 
1 month 
 
Target Sample Size   Total Sample Size="72"
Sample Size from India="72" 
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   N/A 
Date of First Enrollment (India)   18/05/2026 
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 Applicable 
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  

Renal calculi are a prevalent urological issue worldwide. Retrograde Intrarenal Surgery (RIRS) has become a primary minimally invasive treatment, especially for upper urinary tract stones. 

While effective, conventional RIRS using a standard ureteric access sheath (UAS) has known limitations. Elevated intrarenal pressure during the procedure is a significant concern, increasing the risk of

postoperative fever and sepsis. Furthermore, inefficient removal of stone fragments ("dust") can lead to lower stone-free rates (SFR), potentially requiring secondary procedures. The conventional UAS

can be stiff, posing challenges in tortuous ureters and limiting the evacuation of fragments.

This study aims to address key safety and efficacy challenges in RIRS. A specially designed flexible and navigable suction ureteric access sheath (FANS-UAS) offers potential solutions by reducing

intrarenal pressure, better navigability, and better stone evacuation.

 
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