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Antibiotic Irrigation and Suction Ureteral Access Sheath in RIRS

RecruitingNAAges 18 Years - anyAllHitit University
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In plain words

What the trial is, and whether it could suit you

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.

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📋 Eligibility rules (as published)
Inclusion Criteria: * 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 Exclusion Criteria: * 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 * Cases in which the ureter cannot be accessed and the procedure is postponed by placing a double-J stent instead of performing dilation
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What it tests

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

2 sites
Department of Urology, Hitit University Çorum Erol Olçok Training and Research Hospital, Çorum, Türkiye
Çorum, Turkey (Türkiye)
Department of Urology, Hitit University Çorum Erol Olçok Training and Research Hospital, Çorum, Türkiye
Çorum, Turkey (Türkiye)
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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