Ureteral Jets and Patient Positioning Study

Last updated: October 30, 2024
Sponsor: University of Arizona
Overall Status: Completed

Phase

N/A

Condition

N/A

Treatment

Patient Position

Clinical Study ID

NCT04732403
2011188102
  • Ages 18-89
  • Female
  • Accepts Healthy Volunteers

Study Summary

The objective of the study is to identify the relationship between patient position during surgery and time to confirmation of ureteral patency on cystoscopy.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Female patients

  2. Greater than or equal to 18 years old

  3. English-speaking

  4. Scheduled benign gynecologic or urogynecologic surgery in which routine cystoscopyat Banner University Medical Center - Phoenix; Dr. Mourad, Dr. Mahnert or Dr.Rachael Smith.

Exclusion

Exclusion Criteria:

  1. Patients with underlying chronic kidney disease (creatinine <1)

  2. Known renal anomaly such as prior surgical removal of a kidney or underlyingureteral obstruction

  3. Current ureteral stent in place,

  4. Pregnancy,

  5. Contraindication to any of the interventions (i.e., documented allergies)

Study Design

Total Participants: 91
Treatment Group(s): 1
Primary Treatment: Patient Position
Phase:
Study Start date:
February 01, 2021
Estimated Completion Date:
March 01, 2022

Study Description

Patients will be randomized to one of two arms: 0 degree supine position and 10-20 degree angle in reverse Trendelenburg. Our working hypothesis is that positioning a patient in 10-20 degree angle reverse Trendelenburg will result in shorter time to confirmation of bilateral ureteral patency and shorter total cystoscopy time, without a change in delayed diagnosis of ureteric injury.

Primary outcome: time to confirmation of bilateral ureteral patency Secondary outcome: total cystoscopy time, need for alternative modalities to aid in ureteral efflux visualization, delayed diagnosis of ureteric injury (evaluated 6 weeks postoperatively via chart review)

Connect with a study center

  • Banner University Medical Center Phoenix

    Phoenix, Arizona 85006
    United States

    Site Not Available

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