Health Condition 1: N202- Calculus of kidney with calculus of ureter Health Condition 2: N29- Other disorders of kidney and ureter in diseases classified elsewhere
Conditions
Interventions
Intervention1: DJ stent placement: Participants in Group A will have DJ stent placement.
Both sets of participants will undergo ESWL
Control Intervention1: No DJ stent placement in control group prior
Sponsors
Maulana Azad Medical College
Eligibility
Inclusion criteria
Inclusion criteria: Age 18-65 year. Stones considered amenable to ESWL. Solitary stone Located in kidney and upper ureter Size less than or equal to 15 mm CT Hounsefield unit less 1000
Exclusion criteria
Exclusion criteria: Active urinary tract infection Bleeding diathesis Pregnancy and lactation Failed attempt to stenting Uncontrolled hypertension Deranged renal function
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Stone clearance rate: Proportion of patients with stone clearance after extracorporeal shock wave lithotripsy after max 4 sessions (cycles) of ESWL. New cycle will be repeated after 2 weeks of the previous cycle. Xray kub will be done on post procedure day 3 Stone clearance will be considered successful if the stone is cleared completely or could be fragmented to small (less than 4mm) passable fragments.Timepoint: Stone clearance rate: Proportion of patients with stone clearance after extracorporeal shock wave lithotripsy after max 4 sessions (cycles) of ESWL. New cycle will be repeated after 2 weeks of the previous cycle. Xray kub will be done on post procedure day 3 Stone clearance will be considered successful if the stone is cleared completely or could be fragmented to small (less than 4mm) passable fragments. | — |
Secondary
| Measure | Time frame |
|---|---|
| ? ESWL Failure rate: ESWL failure will be labelled if ? Stone clearance is not achieved even after 4 cycles of ESWL ? Patient not tolerating ESWL or chooses another treatment modality ? Complication rate (Percentage of patients) ? Residual stone size following ESWL (in cms) ? No. of sittings of ESWL (in Nos) ? Energy Delivered during ESWL in JoulesTimepoint: Outcome will be assessed at the end of each cycle on post procedure day 3 & at the end of 4 cycles | — |
Countries
India
Contacts
Public ContactGauri H
Maulana Azad Medical College and Lok Nayak Hospital
Outcome results
None listed