Antibiotic Irrigation and Suction Ureteral Access Sheath in RIRS

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorHitit University

About this trial

Retrograde intrarenal surgery (RIRS) is a widely used treatment for kidney stones; however, postoperative infectious complications remain a significant concern. This prospective randomized factorial trial aims to evaluate whether gentamicin-containing irrigation fluid and the use of a suction ureteral access sheath can reduce postoperative fever, systemic inflammatory response syndrome (SIRS), and sepsis after RIRS. The study will also investigate the independent and combined effects of these two interventions on infectious outcomes.

Eligibility criteria

Qualifiers

Patients scheduled for retrograde intrarenal surgery (RIRS) due to kidney stones

Male and female patients aged 18 years or older

Patients who voluntarily sign the informed consent form

Patients with sterile urine culture or whose preoperative infection has been treated and urine culture has become sterile

Disqualifiers

Patients with active urinary tract infection before surgery

Patients with chronic kidney disease

Pregnant patients

Patients with allergy to aminoglycoside-group drugs used in the study protocol, specifically gentamicin

Trial design

Treatments tested in this trial

  • Standard Retrograde Intrarenal Surgery
  • Gentamicin Irrigation
  • Suction-Enabled Ureteral Access Sheath

Treatment groups

180 Participants
are divided into 4 treatment groups

Sponsors and collaborators