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Stone, KidneyNCT05866081

Stent Omission After Ureteroscopy and Lithotripsy in the Michigan Urological Surgery Improvement Collaborative

A study testing No stent placement and Surveys in people with Stone, Kidney and Stone Ureter, run by University of Michigan at 16 sites in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

This is a multicenter prospective trial with randomized and observational cohorts assessing patient-reported outcomes and unplanned healthcare utilization following ureteroscopic treatment of renal and ureteral stones, with placement versus omission of a ureteral stent. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Stone, Kidney, Stone Ureter
What is being tested?
No stent placement and Surveys
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
792 participants
Where
16 sitesUnited States
Study dates
1 Jun 2023to 1 May 2026
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Undergoing unilateral ureteroscopy and lithotripsy for stone disease (participants may have contralateral stones, as long as these are asymptomatic and not being treated concurrently)
  • Largest stone less or equal to 10 millimeter in size as measured on abdominal x-ray, ultrasound, or computed tomography scan
  • Access to means of communication with the study team (email, text messaging, and/or telephone)
  • Adequate independent cognitive function and English language proficiency to complete study surveys
  • Written informed consent

Who cannot join

  • Planned bilateral ureteroscopy
  • Indwelling ureteral stent or percutaneous nephrostomy tube preoperatively in either kidney
  • Anatomic abnormalities of the ipsilateral upper urinary tract (for example, horseshoe kidney, crossed fused ectopia, pelvic kidney, urinary diversion)
  • Anatomic or functional solitary kidney
  • Planned secondary or staged ureteroscopy
  • Planned use of ureteral access sheath
Show all 17Show fewer
  • Pregnancy
  • Patients who use opiate medication daily for greater than 3 months to manage a painful condition
  • Second Stage Exclusion Criteria:
  • ureteral perforation
  • unanticipated anatomic abnormality
  • greater than expected bleeding
  • ureteral dilation greater than 12 French
  • ureteral access sheath utilized
  • failed ureteroscopy
  • no or incomplete lithotripsy performed
  • unable to complete case due to medical or anesthetic event.

Trial locations and contacts

16 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Elaina Shoemaker contact

734-764-3916

Esekulos@med.umich.edu

Sabrina Clark contact

734-323-9353

sacl@med.umich.edu

16 sites in 1 country

United States16 sites, 16 recruiting
  • University of Michigan Health System

    Ann Arbor, Michigan, 48111

    Sabrina Clark, 734-323-9353, sacl@med.umich.edu

    Khurshid Ghani, MD

    Recruiting
  • University of Michigan Health System

    Brighton, Michigan, 48116

    Sabrina Clark, 734-323-9353, sacl@med.umich.edu

    Khurshid Ghani, MD

    Recruiting
  • Monte Fiore

    Brooklyn, New York, 10467

    Elaina Shoemaker, 734-764-3916, esekulos@med.umich.edu

    Dima Raskolnikov, MD

    Recruiting
  • Cadillac Munson Hospital

    Cadillac, Michigan, 49601

    Elaina Shoemaker, 734-764-3916, esekulos@med.umich.edu

    Laris Galejs, MD

    Recruiting
  • UNC Hospital

    Chapel Hill, North Carolina, 27514

    Elaina Shoemaker, 734-764-3916, esekulos@med.umich.edu

    David Friedlander, MD

    Recruiting
  • St. Joseph Health System Chelsea Hospital

    Chelsea, Michigan, 48118

    Elaina Shoemaker, 248-704-9671, esekulos@med.umich.edu

    Andre King, MD

    Recruiting
  • St. Joseph Mercy Health (Trinity)

    Chelsea, Michigan, 48118

    Sabrina Clark, 734-323-9353, sacl@med.umich.edu

    Casey Dauw, MD, 734-936-7030, caseydau@med.umich.edu

    Recruiting
  • Henry Ford Health System

    Detroit, Michigan, 48202

    Elaina Shoemaker, 248-704-9671, esekulos@med.umich.edu

    David Leavitt, MD

    Recruiting
  • UF Health Shands Hospital

    Gainesville, Florida, 32608

    Elaina Shoemaker, 734-764-3916, esekulos@med.umich.edu

    John DiBianco, MD

    Recruiting
  • Corewell Health Buttersworth Hospital

    Grand Rapids, Michigan, 49503

    Elaina Shoemaker, 734-764-3916, esekulos@med.umich.edu

    Russell Becker, MD

    Recruiting
  • Indiana University Department of Urology

    Indianapolis, Indiana, 46202

    Elaina Shoemaker, 248-704-9671, esekulos@med.umich.edu

    Marcelino Rivera, MD

    Recruiting
  • E.W Sparrow Hospital

    Lansing, Michigan, 48912

    Elaina Shoemaker, 734-764-3916, esekulos@med.umich.edu

    Richard Sarle, MD

    Recruiting
  • MyMichigan Medical Center Midland

    Midland, Michigan, 48670

    Elaina Shoemaker, 736-764-3916, esekulos@med.umich.edu

    Karla Witzke, MD

    Recruiting
  • Mount Sinai

    New York, New York, 10029

    Elaina Shoemaker, 734-764-3916, esekulos@med.umich.edu

    Blair Gallante, 631-991-1159, blair.gallante@mountsinai.org

    Recruiting
  • Michigan Institute of Urology Town Center Ambulatory Surgery Center

    Troy, Michigan, 48084

    Elaina Shoemaker, 734-764-3916, esekulos@med.umich.edu

    Jason Hafron, MD

    Recruiting
  • University of Arizona

    Tucson, Arizona, 85724

    Elaina Shoemaker, 248-704-9671, esekulos@med.umich.edu

    David Tzou, MD

    Recruiting

Other trials in United States

About this study

Official title: Stent Omission After Ureteroscopy and Lithotripsy in the Michigan Urological Surgery Improvement Collaborative (SOUL MUSIC)

This is a multicenter prospective trial with randomized and observational cohorts assessing patient-reported outcomes and unplanned healthcare utilization following ureteroscopic treatment of renal and ureteral stones, with placement versus omission of a ureteral stent.

Eligible participants in the randomization trial will be randomized to ureteroscopy with stent placement or stent omission.

Read more

Eligible participants that consent to the observational only cohort will complete surveys and the treating physicians will decide the treatment options for the participants.

The study team hypothesizes that:

  • Pain interference change from pre-surgery to Day 7-10 will differ between the two treatment arms. This hypothesis will be evaluated separately in the randomized and observational cohorts.
  • Unplanned healthcare utilization in the treatment arms will have different unplanned healthcare utilization ranks leading to a win proportion significantly higher or lower than 0.5 in the stent omission arm compared to the stent placement arm. This hypothesis will be evaluated separately in the randomized and observational cohorts.
Read the detailed description

The coordinating center for this study is the Michigan Urological Surgery Improvement Collaborative (MUSIC), which is a physician-led Quality Improvement (QI) collaborative comprised of 44 urology practices and 260 urologists across the State of Michigan.

As sites are activated the registration will be updated.

Being tested
Standard of care stent placement, No stent placement, Surveys
Keywords
Unilateral ureteroscopy and lithotripsy, Ureteral stent, Pain assessment, Quality of life
Medical subject headings
Kidney Calculi, Ureterolithiasis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Standard of care stent placementDevice

    Participants will have a stent placed per randomization assigned if there are no complications (per protocol) during ureteroscopy that excludes the participant.

  • No stent placementOther

    Participants not have a stent placed per randomization assigned if there are no complications (per protocol) during ureteroscopy that excludes the participant.

  • SurveysOther

    All participants in the trial cohort and observational arms will be asked to complete survey instruments (evaluating their pain, quality of life, and experiences following ureteroscopy, as well as surveys evaluating their opinions and preferences around ureteral stenting, etc.).

    Participants will also have routine clinical data (preoperative, perioperative, and postoperative) to be collected and analyzed for research purposes.

Study groups in NCT05866081
Study groupRoleWhat they receive
Randomized cohort- No stent placementOtherParticipants that are eligible and consent for the randomization cohort of the trial will not have a stent placed. If participants are found to be ineligible (see below) at the end of ureteroscopy the participants will not be randomized and taken off the study. In randomization cohort, second stage eligibility criteria: ureteral perforation, unanticipated anatomic abnormality, greater than expected bleeding, ureteral dilation greater than 12 French, ureteral access sheath utilized, failed ureteroscopy, no or incomplete lithotripsy performed, unable to complete case due to medical or anesthetic event.
Receives: Other: No stent placement; Other: Surveys
Randomized cohort- Stent placementExperimentalParticipants that are eligible and consent for the randomization cohort trial will have a stent placed. If participants are found to be ineligible (see below) at the end of ureteroscopy the participants will not be randomized and taken off the study. In randomization cohort, second stage eligibility criteria: ureteral perforation, unanticipated anatomic abnormality, greater than expected bleeding, ureteral dilation greater than 12 French, ureteral access sheath utilized, failed ureteroscopy, no or incomplete lithotripsy performed, unable to complete case due to medical or anesthetic event.
Receives: Device: Standard of care stent placement; Other: Surveys
Observational participants - not randomizedOtherPatients that do not consent to the randomization trial that elect to be on the observational cohort. Stent placement in the observational cohort will be decided by the surgeon intraoperatively, as per routine clinical practice.
Receives: Other: Surveys

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Patient Reported Outcomes Measurement Information System (PROMIS®) Pain Interference (Short Form 6b) change at Postoperative Day 7-10 compared to preoperative

    This survey has 6 questions that participants select from 1(not at all) to 5 (very much) for questions 1-5 related to pain interference. For question 6 participants select from 1 (Never) to 5 (Always). There are total of 6-30 points where the higher the score the more pain interference.

    Measured: Preoperative, Day 7-10

  2. Number of Participants with Wins from the Hierarchical Unplanned stone treatment related healthcare utilization Composite Rank Score

    Compare within each cohort each No Stent Placement patient head-to-head against each Stent Placement patient using a hierarchical composite comprised of:

    • Intensive care unit (ICU) care during hospitalization
    • Unplanned hospitalization
    • Unplanned additional procedure related to ureteroscopy: operating room or interventional radiology procedure
    • Emergency department visit
    • Unplanned clinic visit and/or diagnostic testing (blood, urine testing and/or imaging)
    • Number of ambulatory patient-provider interactions: phone calls / Electronic Medical Record (EMR) messages

    Measured: within 30 days after ureteroscopy

Secondary outcomes (14)
  1. Number of Participants with Intensive Care Unit care during unplanned hospital admission within postoperative day 30

    Measured: within 30 days after ureteroscopy

  2. Number of Participants with Unplanned hospital admission within postoperative day 30

    Measured: within 30 days after ureteroscopy

  3. Number of Participants with Unplanned additional procedure related to ureteroscopy within postoperative day 30

    Measured: within 30 days after ureteroscopy

  4. Number of Participants with Unplanned ambulatory urology office visit and/or diagnostic testing (urine testing and/or imaging) within postoperative day 30

    Measured: within 30 days after ureteroscopy

  5. Unplanned ambulatory urology office visit and/or diagnostic testing (urine testing and/or imaging) within postoperative day 30

    Measured: within 30 days after ureteroscopy

  6. Number of ambulatory patient-provider interactions: phone calls / EMR messages within postoperative day 30

    Measured: within 30 days after ureteroscopy

  7. PROMIS® Pain Interference (Short Form 6b) change at postoperative 4-6 weeks compared to preoperative

    This survey has 6 questions that participants select from 1(not at all) to 5 (very much) for questions 1-5 related to pain interference. For question 6 participants select from 1 (Never) to 5 (Always). There are total of 6-30 points where the higher the score the more pain intensity.

    Measured: preoperative, 4-6 weeks

  8. PROMIS® Pain Intensity (Short Form 3a) change at postoperative day 7-10 preoperative

    This is a 3-question survey that participants select from 1 (had no pain) to 5 (very severe) for the first 2 questions. For the third question participants select how level of pain is now 1 (no pain) to 5 (very severe). There are total of 3-15 points where the higher the score the more pain intensity.

    Measured: preoperative, postoperative day 7-10

  9. PROMIS® Pain Intensity (Short Form 3a) change at postoperative 4-6 weeks compared to preoperative

    This is a 3-question survey that participants select from 1 (had no pain) to 5 (very severe) for the first 2 questions. For the third question participants select how level of pain is now 1 (no pain) to 5 (very severe). There are total of 3-15 points where the higher the score the more pain interference.

    Measured: preoperative, postoperative 4-6 weeks

  10. National Institutes of Health (NIH) Lower Urinary Tract Dysfunction Research Network (LURN) Symptom Index-10 urinary symptom scores change at postoperative day 7-10 compared to preoperative

    The is 10-Item index that assesses participants urinary symptoms. For questions 1-8 Participants select from 0 (never)-4 every time. For questions 9 and 10 participants select from 0 (none) -3 (more than 3 times). There are total of 0-38 points where the higher the score the more pain symptoms.

    Measured: preoperative, postoperative day 7-10

  11. National Institutes of Health (NIH) Lower Urinary Tract Dysfunction Research Network (LURN) Symptom Index-10 urinary symptom scores change at postoperative 4-6 weeks compared to preoperative

    The is 10-Item index that assesses participants urinary symptoms. For questions 1-8 Participants select from 0 (never)-4 every time. For questions 9 and 10 participants select from 0 (none) -3 (more than 3 times). There are total of 0-38 points where the higher the score the more pain intensity.

    Measured: preoperative, postoperative 4-6 weeks

  12. International Consultation on Incontinence - Satisfaction (ICIQ-S) treatment satisfaction scores at postoperative day 7-10

    Participants will complete this 14-question survey regarding satisfaction of treatment.

    The ICIQ-S assesses aspects of experience, expectations, and outcomes to evaluate satisfaction after urological surgery. A scoring system has been derived that consists of two parts: a score for the evaluation of satisfaction with 'surgical outcomes' (ICIQ-S outcome score, range 0-24); and the overall satisfaction with surgery item, scored 0-10. Higher scores indicate more satisfaction.

    Measured: Postoperative day 7-10

  13. International Consultation on Incontinence - Satisfaction (ICIQ-S) treatment satisfaction scores at postoperative 4-6 weeks

    Participants will complete this 14-question survey regarding satisfaction of treatment.

    The ICIQ-S assesses aspects of experience, expectations, and outcomes to evaluate satisfaction after urological surgery. A scoring system has been derived that consists of two parts: a score for the evaluation of satisfaction with 'surgical outcomes' (ICIQ-S outcome score, range 0-24); and the overall satisfaction with surgery item, scored 0-10. Higher scores indicate more satisfaction.

    Measured: Postoperative 4-6 weeks

  14. Number of days taken off work by patients and caregivers during the first 7 days after ureteroscopy

    Measured: First 7 days after ureteroscopy

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted19 May 2023
  2. Study start1 Jun 2023
  3. Primary completion1 May 2026 (estimated)
  4. Study completion1 May 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Participants that consent for the randomization cohort (264 anticipated) will be randomized using an online computer-based system to either stent omission or stent placement in a 1:1 ratio following secondary eligibility criteria. Blocked, stratified randomization based upon surgeon classified stone location (renal only versus ureteral with or without renal), with random block sizes will be used to ensure group balance. Observational study participants (528 anticipated) will not be randomized.
Masking
Single blind
Who is masked
Care provider
Enrolment
792 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05866081
Sponsor's protocol ID
HUM00234740
Other IDs
CER-2021C2-22856
Status last verified
Dec 2025
First submitted
24 Apr 2023
Last updated
15 Dec 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
No

Publications

  • Becker REN, Daignault-Newton S, Shoemaker E, Sitek D, Thelus JM, Clark S, Martin-Schwarze A, Spino C, Carlozzi NE, Meurer WJ, Sales AE, Dauw CA, Ghani KR. Stent Omission after Ureteroscopy and Lithotripsy (SOUL) in the Michigan Urological Surgery Improvement Collaborative (MUSIC): study protocol for a pragmatic prospective combined randomized and observational clinical trial. Trials. 2024 Dec 4;25(1):811. doi: 10.1186/s13063-024-08587-8.

    PubMed 39633425

Questions about this trial

What is this clinical trial studying?

A study testing No stent placement and Surveys in people with Stone, Kidney and Stone Ureter, run by University of Michigan at 16 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 17 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 15 Dec 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 16 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Elaina Shoemaker (734-764-3916, Esekulos@med.umich.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Patient Reported Outcomes Measurement Information System (PROMIS®) Pain Interference (Short Form 6b) change at Postoperative Day 7-10 compared to preoperative (time frame: Preoperative, Day 7-10). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05866081, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Dec 2025.

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