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CTRI Number  CTRI/2026/02/103480 [Registered on: 10/02/2026] Trial Registered Prospectively
Last Modified On: 09/02/2026
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cohort Study 
Study Design  Single Arm Study 
Public Title of Study   Kidney ultrasound measurements in assessing the surgical outcomes in children with blockage at junction of kidney and ureter 
Scientific Title of Study   Calyx to parenchyma ratio (CPR) in assessing the surgical outcomes in children with pelvi-ureteric junction obstruction undergoing Anderson-Hynes pyeloplasty 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Tejaswini Girish 
Designation  Senior resident 
Affiliation  KMC Manipal 
Address  Department of pediatric surgery, Kasturba medical college, Madhav Nagar, Manipal

Udupi
KARNATAKA
576104
India 
Phone  9482159475  
Fax    
Email  tejaswinigirish@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  P. Santosh Prabhu 
Designation  Professor 
Affiliation  KMC Manipal 
Address  Department of pediatric surgery, Kasturba medical college, Madhav Nagar, Manipal

Udupi
KARNATAKA
576104
India 
Phone  9482159475  
Fax    
Email  santosh.prabhu@manipal.edu  
 
Details of Contact Person
Public Query
 
Name  Tejaswini Girish 
Designation  Senior resident 
Affiliation  KMC Manipal 
Address  Department of pediatric surgery, Kasturba medical college, Madhav Nagar, Manipal

Udupi
KARNATAKA
576104
India 
Phone  9482159475  
Fax    
Email  tejaswinigirish@gmail.com  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  Tejaswini Girish 
Address  Department of pediatric surgery, Kasturba hospital, Manipal, Udupi, Karnataka- 576104 
Type of Sponsor  Other [Self] 
 
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 Tejaswini Girish  Kasturba Hospital  Room no.35, Department of Paediatric Surgery, Madhav Nagar, Manipal, Udupi, Karnataka- 576104
Udupi
KARNATAKA 
9482159475

tejaswinigirish@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Kasturba Medical College and Kasturba Hospital Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: N289||Disorder of kidney and ureter, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  NIL  NIL 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  1.00 Year(s)
Age To  18.00 Year(s)
Gender  Both 
Details  1. Diagnosed (antenatally/ postnatally) with PUJO with AP diameter of pelvis greater than 1cm on USG and scheduled for Anderson-Hynes pyeloplasty.
2. Informed consent obtained from parents/guardians.
 
 
ExclusionCriteria 
Details  1. Previous renal surgery
2. Presence of other significant renal pathologies (e.g., vesico-ureteric reflux, secondary PUJO).
3. Non-compliance with follow-up protocols.
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
The primary outcome of the study will be to study the trends in the CP ratio in pre-operative and post-operative periods of patients undergoing Anderson Hynes pyeloplasty for PUJ obstruction.  The outcome will be measured at baseline and 6 months following the surgery. 
 
Secondary Outcome  
Outcome  TimePoints 
The secondary outcome of the study will be to analyse the usefulness of CP ratio as a non-invasive tool to determine the surgical outcomes in patients with PUJ obstruction  The outcome will be measured at 6 months after surgery 
 
Target Sample Size   Total Sample Size="50"
Sample Size from India="50" 
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)   02/03/2026 
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   Pediatric patients diagnosed with pelvi ureteric junction obstruction who are planned for pyeloplasty will be considered for this prospective observational study of 2 years duration. Calyx to parenchyma ratio in the most dilated renal calyx od the affected kdiney will be measured pre op and 6 months post op. These findings will be compared with the more standard imaging tool, i.e., EC scan, to see the surgical outcome in the patients. This will thereby help us to identify whether CP ratio is a significant non invasive marker to prognosticate patients with PUJ obstruciton. 
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