ClinicalTrials.gg
RecruitingNCT07071831Updated May 4, 2026

RETRO Study (RETrograde Renal Access Outcomes)

An observational study in Renal Stones, sponsored by University of Kansas Medical Center. Recruiting at 2 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-05-04.

Sponsored by University of Kansas Medical Center · Observational

From the registry’s dates

  • Started Dec 2024; still recruiting 1 year 11 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
150
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this observational study is to learn about the benefit of using RetroPerc® in obtaining renal access for percutaneous nephrolithotomy. The device is already used in routine clinical practice by urologists around the country.

Participants who are already scheduled to undergo percutaneous nephrolithotomy as part of their regular care will be asked to participate.

Read the detailed description

Retrograde nephrostomy access is well established as a safe method for nephrostomy creation and thus this study aims to perform a standard of care study. The device is already available, on the shelf, and used in routine clinical care. However, the study aims to take a closer look in a prospective fashion at this access technique to better understand specific variables that are not available on retrospective review of cases that have already undergone PCNL with this technique.

02

Conditions studied

  • Renal Stones

Keywords

  • kidney stones
03

In context

Nephrolithiasis

324 studies on the registry are indexed under Nephrolithiasis; 90 are open to participants now.

This study's planned enrollment of 150 is above the median of 100 across 57 observational studies indexed under Nephrolithiasis.

Browse Nephrolithiasis studies →

Lead sponsor

University of Kansas Medical Center is the lead sponsor of 492 studies on the registry; 110 are open to participants now.

Of its 38 completed or terminated interventional studies of FDA-regulated products, 24 (63%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Participants undergoing percutaneous nephrolithotomy for treatment of their renal stone (s) total linear sum of 1.5 to 3cm cm in maximum dimension.

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

  • Renal stone or total linear sum of 1.5-3cm cm in maximum dimension (largest diameter in axial or coronal)--- multiple stones should be summed to determine stone size.
  • Age >=18 years of age
  • Gender: both men and women included.
  • Ethnic background: all ethnicities will be included in the study population and the specific ethnic diversity present in the study population will reflect the geographic distributions of the participating institutions.
  • Plan for PCNL in the supine position

Exclusion criteria

Exclusion Criteria:

  • Active pregnancy
  • >45
  • Severe Hydronephrosis - renal pelvis diameter > 20mm
  • Flank window \< 4 cm are ineligible for puncture
  • Previous ipsilateral PCNL
  • Currently with "useful" nephrostomy tube on ipsilateral side
  • Uncorrectable coagulopathies
  • Untreated urinary tract infection
  • Subjects with significant morbidities such as (ASA) score ≥ 4, severe spinal cord injuries, severe cardiopulmonary insufficiency, uncontrolled diabetes, neurological disorders, bedbound, anticipated less than 5 years, or any other comorbidity, that in the opinion of the principal investigator could represent an increased peri-operative risk for the subject;
  • Ipsilateral partial nephrectomy
  • History of ipsilateral ureteral reimplantation or ureteral reconstruction;
  • History of Simple or radical prostatectomy
  • History of cystectomy
  • History of calyceal diverticula stone;
  • History of renal donation or transplant;
  • Any other previous pelvic surgical treatment that could put the subject at greater procedural complication risk or technical difficulty;
  • Ureteral ipsilateral stricture, untreated;
  • Ureteral stricture, untreated (not to include "tight" ureter);
  • Any other bladder, ureteral or kidney congenital genitourinary abnormalities (e.g. Horseshoe kidney, ipsilateral duplicated or partially duplicated collecting system, ipsilateral ectopic kidney, cross-fused ectopia, bifid renal pelvis with no horizontally directed calyces, solitary kidney, etc.) preventing the ability to direct a puncture laterally or render the subject stone free;
  • Have participated in any other clinical trial within the last 3 months, and/or plans to participate in any other or invasive clinical trial during this study;
  • If female, breast-feeding, or if childbearing age, is not using between screening and 90 days post-op;
  • Subject has current or recent history of substance abuse (e.g. recreational drugs, narcotics, or alcohol) requiring intervention;
  • Is a prisoner or ward of the state;
  • Is unable to meet the treatment and follow up protocol requirements.
Terms in these criteria, in plain language(5)

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.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

ASA physical status

The anaesthetists’ scale of health before surgery: I is healthy, II has a mild illness that is under control, III a severe one, IV a severe illness that is a constant threat to life. V and VI are used for the critically ill and for organ donors.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
150 participants (estimated)
Patient registry
No

Groups and cohorts

  • Percutaneous Nephrolithotomy

    Participants with a single renal stone or total sum of 1.5 to 3 cm in maximum dimension of multiple stones undergoing percutaneous nephrolithotomy as part of their routine medical care using the RetroPerc® system to obtain renal access.

    Device: RetroPerc®

Interventions

  • DeviceRetroPerc®

    The RetroPerc® will be used to obtain renal access.

06

What researchers measure

Primary outcomes

  1. Proportion of successful renal access per access attempts

    The proportion of successful renal access was compared to the renal access attempts (e.g. 100 success attempts/110 attempts).

    Time frame: Procedure

Secondary outcomes

  1. Location of Renal Access

    The location of renal access was determined during the procedure. Location of access was defined as upper pole, mid pole, and lower pole.

    Time frame: Procedure

  2. Time to gain renal access

    The time to gain renal access was defined as the time the ureteroscope enters the kidney to the time when the nephroscope enters the kidney

    Time frame: Procedure

  3. Total Procedure Time

    The total procedure time is defined as the time when the cyso/urethroscope enters the urethra to the time time of skin closure.

    Time frame: Procedure

  4. Length of Post-Operative Hospital Stay

    The post-operative hospital length of stay range is defined from 0 days to longer than 5 days.

    Time frame: Day 0 to 3 Months Post-Operative

07

Study locations

2 of 2 sites recruiting
08

References and documents

Publications

  • Lee CL, Anderson JK, Monga M. Residency training in percutaneous renal access: does it affect urological practice? J Urol. 2004 Feb;171(2 Pt 1):592-5. doi: 10.1097/01.ju.0000104849.25168.6d. PubMed 14713766 ↗
  • Alotaibi KM. Retrograde nephrostomy access for percutaneous nephrolithotomy: a simple and safe technique. Urolithiasis. 2020 Apr;48(2):175-181. doi: 10.1007/s00240-019-01135-z. Epub 2019 Apr 29. PubMed 31037404 ↗
  • Kaler KS, Parkhomenko E, Lin CY, Valley ZA, Kim WK, Okhunov Z, Patel RM, Landman J. A New Twist on an Old Technique: Lawson Retrograde Endoscopic-Guided Nephrostomy Access for Percutaneous Nephrolithotomy in Prone Split-Leg Position. J Endourol Case Rep. 2018 Nov 29;4(1):190-194. doi: 10.1089/cren.2018.0073. eCollection 2018. PubMed 30515460 ↗
  • Wynberg JB, Paik LJ, Odom BD, Kruger M, Atalla CS. Body mass index predicts outcome of ureteroscopy-assisted retrograde nephrostomy for percutaneous nephrolithotomy. J Endourol. 2014 Sep;28(9):1071-7. doi: 10.1089/end.2014.0204. Epub 2014 Jun 12. PubMed 24779944 ↗
  • Sivalingam S, Al-Essawi T, Hosking D. Percutaneous nephrolithotomy with retrograde nephrostomy access: a forgotten technique revisited. J Urol. 2013 May;189(5):1753-6. doi: 10.1016/j.juro.2012.11.169. Epub 2012 Dec 3. PubMed 23219545 ↗
  • Al-Otaibi KM. Retrograde upper-pole calyceal access for percutaneous nephrolithotripsy of stones in the lower-pole calyx. Arab J Urol. 2012 Dec;10(4):353-7. doi: 10.1016/j.aju.2012.08.002. Epub 2012 Sep 23. PubMed 26558049 ↗
  • Kawahara T, Ito H, Terao H, Kato Y, Uemura H, Kubota Y, Matsuzaki J. Effectiveness of ureteroscopy-assisted retrograde nephrostomy (UARN) for percutaneous nephrolithotomy (PCNL). PLoS One. 2012;7(12):e52149. doi: 10.1371/journal.pone.0052149. Epub 2012 Dec 14. PubMed 23251698 ↗
  • Smiths Textbook of Endourology. 2007, BC Decker Publ. Ch. 15, Dr. D. Hosking - "Retrograde Nephrostomy", Pg. 117.
  • Mokulis JA, Peretsman SJ. Retrograde percutaneous nephrolithotomy using the Lawson technique for management of complex nephrolithiasis. J Endourol. 1997 Apr;11(2):125-30. doi: 10.1089/end.1997.11.125. PubMed 9107586 ↗
  • Wong HY, Hinson JL, Griffith DP. Retrograde nephrostomy: advantages, disadvantages, and the learning curve. J Endourol. 1995 Dec;9(6):461-3. doi: 10.1089/end.1995.9.461. PubMed 8775075 ↗
  • Morrisseau PM, Trotter SJ. Retrograde percutaneous nephrolithotomy: urological treatment of a urological problem. J Urol. 1988 Jun;139(6):1163-5. doi: 10.1016/s0022-5347(17)42847-3. PubMed 3373578 ↗
  • Spirnak JP, Resnick MI. Retrograde percutaneous stone removal using modified Lawson technique. Urology. 1987 Dec;30(6):551-3. doi: 10.1016/0090-4295(87)90434-1. PubMed 3686771 ↗
  • Hunter PT, Hawkins IF, Finlayson B, Nanni G, Senior D. Hawkins-Hunter retrograde transcutaneous nephrostomy: a new technique. Urology. 1983 Dec;22(6):583-7. doi: 10.1016/0090-4295(83)90300-x. PubMed 6649222 ↗
  • Lawson RK, Murphy JB, Taylor AJ, Jacobs SC. Retrograde method for percutaneous access to kidney. Urology. 1983 Dec;22(6):580-2. doi: 10.1016/0090-4295(83)90299-6. PubMed 6649221 ↗

Individual participant data

Plan to share: Yes — De-identified participant data collected during the study

Supporting information: Statistical analysis plan, Clinical study report

Time frame: Following end of study

Access criteria: Data may be requested by participating study investigators. The participating sites must have a data use agreement in place before requesting access to the data.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 4, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07071831
Collaborators
RetroPerc Inc
Responsible party
Bristol Whiles, MD (Assistant Professor, University of Kansas Medical Center) — Principal investigator
First posted
Jul 17, 2025
Start date
Dec 6, 2024
Primary completion
Apr 2027 (estimated)
Completion
Dec 2027 (estimated)
Last update
May 4, 2026

Study contacts

Research Program Manager
Contact
jledesma2@kumc.edu
913-588-8721
Bristol Whiles, MD
principal investigator · University of Kansas Medical Center

Oversight

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

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