ClinicalTrials.gg
CompletedNCT05153629Updated Oct 22, 2024Results posted

Noninvasive Electrical Stimulator as a Pain Control Treatment Post-ureteroscopy

An interventional study of TENS in Kidney Stone, Ureteral Calculi and Nephrolithiasis, sponsored by Stanford University. Completed at 1 site in United States. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2024-10-22.

Sponsored by Stanford University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 10 months after the study started (first participant enrolled Jan 2021, registered Nov 2021).
Phase
Not applicable
Study type
Interventional
Enrollment
41
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 193 studies in Kidney Calculi with a site in United States — 42 open to participants now, 58 under way, none of them phase 3. Kidney Calculi · United States.

Enrollment
87th of 165
41 · median 47
Started
2021
with 14 others
No phase
113 of 193
29 open now
Registered
127th of 193
by date

Among the 193 studies in Kidney Calculi with a site in United States, this one is the 87th largest by enrollment of the 165 interventional ones that give a count, is one of 15 that started in 2021, is one of 113 with no phase, and was the 127th registered.

Kidney Calculi

509 studies on the registry are indexed under Kidney Calculi; 146 are open to participants now.

Browse Kidney Calculi studies →

Open to participants now

42 of the 193 studies in Kidney Calculi with a site in United States are open now. Recruiting first, the newest first:

37 more — sign in →

All 42 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 88 Kidney Calculi studies recruiting now, 48 (55%) set no upper age limit and 23 (26%) stop at 75 or younger; 6 take children under 18; 11 take healthy volunteers.

This study: 18 Years to 70 Years · all sexes · no healthy volunteers.

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02

Study summary

The investigators will assess the use of Transcutaneous Neurostimulation (TENS), a pharmacological alternative, for treatment of ureteral stent pain post-ureteroscopy. The primary aim for the investigators is to determine if use of a TENS unit will reduce post-operative pain and nausea associated with the ureteral stent. Secondary aim will be to assess if it can help minimize narcotic use.

03

Conditions studied

  • Kidney Stone
  • Ureteral Calculi
  • Nephrolithiasis
04

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Adult patients undergoing standard of care ureteroscopy and laser lithotripsy for urinary stone disease
  • Patients receiving a stent following their ureteroscopy and laser lithotripsy

Exclusion criteria

Exclusion Criteria:

  • Children
  • Pregnant patients
  • Patients unable to answer pain questionnaire
  • Patients undergoing PCNL
  • Patients being treated for Urologic with ureteroscopy
  • Patients who require long term or chronic ureteral stent management
  • Patient with implantable stimulators
  • Patient with epilepsy
  • Patients undergoing laser lithotripsy without stent placement
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
41 participants (actual)

Study arms

  • No intervention
    Standard care

    Participants will follow standard care until the ureteral stent is removed

  • Experimental
    TENS device

    Participants will use the TENS device until the ureteral stent is removed

    Device: TENS

Interventions

  • DeviceTENS

    TENS device used four times a day for 60 minutes each time

06

What researchers measure

Primary outcomes

  1. Pain on 11-point Visual Analog Score Scale (VAS)

    Cumulative average pain score using an 11-point VAS. The VAS is a validated tool widely used to assess pain intensity. Possible score ranges: * Scale for back pain: 0 (no pain) - 10 (worst pain) * Abdominal/Groin Pain: 0 (no pain) - 10 (worst pain) * Pain Frequency: 0 (not at all) - 10 (All day or night long) * Nausea intensity: 0 (No nausea) - 10 (Worst possible nausea)

    Time frame: Assessed daily until removal of stent, approximately 3-10 days after placement

  2. Difference in Pain on 11-point Visual Analog Score Scale (VAS)

    Cumulative average difference in pain score using an 11-point VAS. The VAS is a validated tool widely used to assess pain intensity. Possible score ranges: * Scale for back pain: 0 (no pain) - 10 (worst pain) * Abdominal/Groin Pain: 0 (no pain) - 10 (worst pain) * Pain Frequency: 0 (not at all) - 10 (All day or night long) * Nausea intensity: 0 (No nausea) - 10 (Worst possible nausea)

    Time frame: Assessed daily until removal of stent, approximately 3-10 days after placement

Secondary outcomes

  1. Total Opioid Consumption

    Consumption in morphine milligram equivalents (MME), based on patient-self-report in Daily Symptom Questionnaire.

    Time frame: Until stent removal (up to 10 days)

  2. Difference in Total Opioid Consumption

    Consumption (in MME), based on patient-self-report in Daily Symptom Questionnaire.

    Time frame: Until stent removal (up to 10 days)

  3. Ureteral Stent Discomfort Test (USDT) Scale Score

    Overall score scale:0 to 61 points; subdomain scales: urinary symptoms: 0 to 30; pain: 0 to 6: daily life: 0 to 5; sexual life: 0 to 5; medical care/analgesic use: 0 to 10; and overall quality of life: 0 to 5. Subscale scores are totaled to calculate the overall score. Higher scores correspond to more severe symptoms for the overall score and all subscale scores.

    Time frame: Assessed at removal of stent, approximately 3-10 days after placement

  4. Patient Satisfaction Survey

    Participants were asked if they would prefer using TENS over pain medication during a pain episode, and whether they would consider using TENS over pain medication in the future. This outcome was assessed only in participants who were randomized to the TENS device group.

    Time frame: End of study (day 3 to 10)

07

Results

Posted Oct 22, 2024

Participant flow

Participant flow — Overall Study
MilestoneTENS DeviceStandard Care
Started1713
Completed1711
Not completed02
Withdrew: Withdrawal by subject02

Outcome measures

PrimaryPain on 11-point Visual Analog Score Scale (VAS)

Cumulative average pain score using an 11-point VAS. The VAS is a validated tool widely used to assess pain intensity. Possible score ranges: * Scale for back pain: 0 (no pain) - 10 (worst pain) * Abdominal/Groin Pain: 0 (no pain) - 10 (worst pain) * Pain Frequency: 0 (not at all) - 10 (All day or night long) * Nausea intensity: 0 (No nausea) - 10 (Worst possible nausea)

Time frame:
Assessed daily until removal of stent, approximately 3-10 days after placement
Reported as:
Mean · score on a scale
Pain on 11-point Visual Analog Score Scale (VAS)
score on a scaleTENS DeviceStandard Care
Back Pain3.52 ± 3.083.42 ± 2.85
Abdominal/Groin Pain4.44 ± 2.594.02 ± 2.44
Pain Frequency4.70 ± 2.335.22 ± 2.28
Nausea Intensity1.18 ± 1.631.98 ± 2.01
Statistical analysis
  • TENS Device vs Standard Care · t-test, 2 sided · p = 0.93 (A p-value less than the a priori threshold of 0.05 is considered statistically significant.)
  • TENS Device vs Standard Care · t-test, 2 sided · p = 0.76 (A p-value less than the a priori threshold of 0.05 is considered statistically significant.)
  • TENS Device vs Standard Care · t-test, 2 sided · p = 0.56 (A p-value less than the a priori threshold of 0.05 is considered statistically significant.)
  • TENS Device vs Standard Care · t-test, 2 sided · p = 0.26 (A p-value less than the a priori threshold of 0.05 is considered statistically significant.)
PrimaryDifference in Pain on 11-point Visual Analog Score Scale (VAS)

Cumulative average difference in pain score using an 11-point VAS. The VAS is a validated tool widely used to assess pain intensity. Possible score ranges: * Scale for back pain: 0 (no pain) - 10 (worst pain) * Abdominal/Groin Pain: 0 (no pain) - 10 (worst pain) * Pain Frequency: 0 (not at all) - 10 (All day or night long) * Nausea intensity: 0 (No nausea) - 10 (Worst possible nausea)

Time frame:
Assessed daily until removal of stent, approximately 3-10 days after placement
Reported as:
Mean · score on a scale
Difference in Pain on 11-point Visual Analog Score Scale (VAS)
score on a scaleTENS DeviceStandard Care
Back Pain-3.94 ± 6.59-6.09 ± 10.29
Abdominal/Groin Pain-4.88 ± 9.55-8.54 ± 7.74
Pain Frequency-5.64 ± 7.52-8.63 ± 9.50
Nausea Intensity-1.05 ± 4.97-4.09 ± 7.58
Statistical analysis
  • TENS Device vs Standard Care · t-test, 2 sided · p = 0.55 (A p-value less than the a priori threshold of 0.05 is considered statistically significant.)
  • TENS Device vs Standard Care · t-test, 2 sided · p = 0.28 (A p-value less than the a priori threshold of 0.05 is considered statistically significant.)
  • TENS Device vs Standard Care · t-test, 2 sided · p = 0.39 (A p-value less than the a priori threshold of 0.05 is considered statistically significant.)
  • TENS Device vs Standard Care · t-test, 2 sided · p = 0.26 (A p-value less than the a priori threshold of 0.05 is considered statistically significant.)
SecondaryTotal Opioid Consumption

Consumption in morphine milligram equivalents (MME), based on patient-self-report in Daily Symptom Questionnaire.

Time frame:
Until stent removal (up to 10 days)
Reported as:
Mean · MME
Total Opioid Consumption
MMETENS DeviceStandard Care
Total Opioid Consumption31.73 ± 66.0817.27 ± 28.21
Statistical analysis
  • TENS Device vs Standard Care · t-test, 2 sided · p = 0.50 (A p-value less than the a priori threshold of 0.05 is considered statistically significant.)
SecondaryDifference in Total Opioid Consumption

Consumption (in MME), based on patient-self-report in Daily Symptom Questionnaire.

Time frame:
Until stent removal (up to 10 days)
Reported as:
Mean · MME
Difference in Total Opioid Consumption
MMETENS DeviceStandard Care
Difference in Total Opioid Consumption-5.03 ± 25.642.72 ± 31.23
Statistical analysis
  • TENS Device vs Standard Care · t-test, 2 sided · p = 0.50 (A p-value less than the a priori threshold of 0.05 is considered statistically significant.)
SecondaryUreteral Stent Discomfort Test (USDT) Scale Score

Overall score scale:0 to 61 points; subdomain scales: urinary symptoms: 0 to 30; pain: 0 to 6: daily life: 0 to 5; sexual life: 0 to 5; medical care/analgesic use: 0 to 10; and overall quality of life: 0 to 5. Subscale scores are totaled to calculate the overall score. Higher scores correspond to more severe symptoms for the overall score and all subscale scores.

Time frame:
Assessed at removal of stent, approximately 3-10 days after placement
Reported as:
Mean · score on a scale
Ureteral Stent Discomfort Test (USDT) Scale Score
score on a scaleTENS DeviceStandard Care
Overall score30.23 ± 6.4829.30 ± 11.02
Urinary symptoms16.92 ± 4.8916.00 ± 7.20
Pain3.15 ± 1.522.70 ± 1.57
Daily life2.54 ± 1.393.10 ± 1.91
Sexual life0.08 ± 0.280.50 ± 1.58
Medical care/analgesic use4.23 ± 2.173.60 ± 2.07
Overall Quality of Life3.31 ± 1.323.40 ± 1.51
Statistical analysis
  • TENS Device vs Standard Care · t-test, 2 sided · p = 0.80 (A p-value less than the a priori threshold of 0.05 is considered statistically significant.)
  • TENS Device vs Standard Care · t-test, 2 sided · p = 0.72 (A p-value less than the a priori threshold of 0.05 is considered statistically significant.)
  • TENS Device vs Standard Care · t-test, 2 sided · p = 0.45 (A p-value less than the a priori threshold of 0.05 is considered statistically significant.)
  • TENS Device vs Standard Care · t-test, 2 sided · p = 0.42 (A p-value less than the a priori threshold of 0.05 is considered statistically significant.)
  • TENS Device vs Standard Care · t-test, 2 sided · p = 0.36 (A p-value less than the a priori threshold of 0.05 is considered statistically significant.)
  • TENS Device vs Standard Care · t-test, 2 sided · p = 0.49 (A p-value less than the a priori threshold of 0.05 is considered statistically significant.)
  • TENS Device vs Standard Care · t-test, 2 sided · p = 0.88 (A p-value less than the a priori threshold of 0.05 is considered statistically significant.)
SecondaryPatient Satisfaction Survey

Participants were asked if they would prefer using TENS over pain medication during a pain episode, and whether they would consider using TENS over pain medication in the future. This outcome was assessed only in participants who were randomized to the TENS device group.

Time frame:
End of study (day 3 to 10)
Reported as:
Count of participants · Participants
Patient Satisfaction Survey
ParticipantsTENS Device
Preferred TENS device over medication9
Would use TENS device in the future12

Adverse events

Collected over Up to 10 days. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
TENS Device0/17 (0%)0/17 (0%)0/17 (0%)
Standard Care0/13 (0%)0/13 (0%)0/13 (0%)

Baseline characteristics

Participants who completed the protocol

Age, Continuous
Age, Continuous(years)TENS DeviceStandard CareTotal
Mean52.94 ± 14.3863.09 ± 15.7956.92 ± 15.50
Sex: Female, Male
Sex: Female, Male(Participants)TENS DeviceStandard CareTotal
Female9514
Male8614
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)TENS DeviceStandard CareTotal
Hispanic or Latino123
Not Hispanic or Latino16925
Unknown or Not Reported000
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)TENS DeviceStandard CareTotal
Asian505
African American101
White8917
Other325
Region of Enrollment
Region of Enrollment(Participants)TENS DeviceStandard CareTotal
United States171128
Surgical Laterality
Surgical Laterality(Participants)TENS DeviceStandard CareTotal
Right6511
Left11617
Stone Location
Stone Location(Participants)TENS DeviceStandard CareTotal
Ureteral8311
Renal8513
Both134
Stent Length in cm
Stent Length in cm(Participants)TENS DeviceStandard CareTotal
20314
22404
245510
26549
28011

1 further baseline measures are reported on the registry.

08

Study locations

1 site
  • Stanford
    Stanford, California 94305, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jan 2021 to primary completion in Oct 2023, 32 months.

Results were first posted in Oct 2024, 1 year after primary completion.

Of 183 non-industry interventional studies with no phase under Kidney Calculi, half reached primary completion within 31 months of starting (the median), counting those still running; a quarter within 13 and three quarters within 54. This study's 32 months is close to that.

Counting every sponsor, half of 199 studies reached it within 26 months; a quarter within 12 and three quarters within 51.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 28, 2021
First posted
Dec 10, 2021
StartActual
Jan 10, 2021
Primary completionActual
Oct 1, 2023
CompletionActual
Oct 1, 2023
Results first posted
Oct 22, 2024
Last update
Oct 22, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Oct 22, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT05153629
Responsible party
Simon Conti (Clinical Assistant Professor, Urology, Stanford University) — Principal investigator
First posted
Dec 10, 2021
Start date
Jan 10, 2021
Primary completion
Oct 1, 2023
Completion
Oct 1, 2023
Results posted
Oct 22, 2024
Last update
Oct 22, 2024

Study contacts

Simon Conti, MD
principal investigator · Stanford University

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

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