The time to fragment a stone into small pieces (≤2 mm, which is our current institutional practice)
| Group | Value | 95% CI |
|---|---|---|
| Holmium:YAG Laser: 0.2J&15Hz | 24.5 | ± 19.2 |
| Holmium:YAG Laser: 0.8J&15Hz | 7.9 | ± 3.2 |
Last reviewed · How we verify
Clinical Trial Evaluating the Efficiency of Holmium Laser Settings on Urinary Stones
NA trial testing Holmium:YAG laser in Stone Ureter in 40 participants. Completed in 24 March 2021.
| Lead sponsor | University of Wisconsin, Madison |
|---|---|
| Phase | NA |
| Status | Completed |
| Study type | INTERVENTIONAL |
| Allocation | randomized |
| Design | parallel |
| Masking | quadruple |
| Primary purpose | treatment |
| Enrollment | 40 |
| Start date | 30 July 2019 |
| Primary completion | 24 March 2021 |
| Estimated completion | 24 March 2021 |
| Sites | 1 location across United States |
University of Wisconsin, Madison
18 and older, any sex, with Stone Ureter or Stone;Renal. Patients with the condition only — healthy volunteers not accepted.
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
The time to fragment a stone into small pieces (≤2 mm, which is our current institutional practice)
| Group | Value | 95% CI |
|---|---|---|
| Holmium:YAG Laser: 0.2J&15Hz | 24.5 | ± 19.2 |
| Holmium:YAG Laser: 0.8J&15Hz | 7.9 | ± 3.2 |
| Group | Value | 95% CI |
|---|---|---|
| Holmium:YAG Laser: 0.2J&15Hz | 75.7 | ± 20.6 |
| Holmium:YAG Laser: 0.8J&15Hz | 64.3 | ± 17.2 |
Pre-operative stone size (on pre-operative CT) will be reported in millimeters.
| Group | Value | 95% CI |
|---|---|---|
| Holmium:YAG Laser: 0.2J&15Hz | 11.2 | ± 5.2 |
| Holmium:YAG Laser: 0.8J&15Hz | 9.2 | ± 8.2 |
Urinary stone location will be classified as renal or ureter.
| Group | Value | 95% CI |
|---|---|---|
| Holmium:YAG Laser: 0.2J&15Hz | 8 | |
| Holmium:YAG Laser: 0.8J&15Hz | 7 |
| Group | Value | 95% CI |
|---|---|---|
| Holmium:YAG Laser: 0.2J&15Hz | 4 | |
| Holmium:YAG Laser: 0.8J&15Hz | 8 |
| Group | Value | 95% CI |
|---|---|---|
| Holmium:YAG Laser: 0.2J&15Hz | 8 | |
| Holmium:YAG Laser: 0.8J&15Hz | 14 |
| Group | Value | 95% CI |
|---|---|---|
| Holmium:YAG Laser: 0.2J&15Hz | 4 | |
| Holmium:YAG Laser: 0.8J&15Hz | 1 |
| Group | Value | 95% CI |
|---|---|---|
| Holmium:YAG Laser: 0.2J&15Hz | 935.2 | ± 367.9 |
| Holmium:YAG Laser: 0.8J&15Hz | 924.7 | ± 374.5 |
Size of fragments created will be assessed using the laser fiber size as a comparison.
| Group | Value | 95% CI |
|---|---|---|
| Holmium:YAG Laser: 0.2J&15Hz | 1 | |
| Holmium:YAG Laser: 0.8J&15Hz | 5 |
| Group | Value | 95% CI |
|---|---|---|
| Holmium:YAG Laser: 0.2J&15Hz | 10 | |
| Holmium:YAG Laser: 0.8J&15Hz | 10 |
| Group | Value | 95% CI |
|---|---|---|
| Holmium:YAG Laser: 0.2J&15Hz | 1 | |
| Holmium:YAG Laser: 0.8J&15Hz | 0 |
The primary objective of this study is to compare the time to acceptable stone fragmentation during clinical use of the holmium laser when using energy settings 0.2J vs 0.8J. The hypothesis is that holmium laser energy settings 0.8J will require less time than lower energy settings 0.2J for fragmenting urinary stones. The clinical practice is to treat urinary stones until the stone is reduced to fragments ≤ 2 mm in size. This is determined by using the laser fiber which is 273 microns to visually estimate the size of the resultant fragments as described by Patel et al, J Endo 2014. Investigators will standardize the effect of stone size by creating a ratio of stone size to treatment time. In this study, the frequency is set at 15Hz. Thus, the study contains two arms: 0.2J\&15Hz, and 0.8J\&15Hz. Patients will be randomized into the two groups by the ratio of 1:1.
No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.
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