Upper urinary tract calculi
Conditions
Interventions
Balloon dilatation group:Balloon dilatation of ureter under direct vision
Traditional treatment group:Ureteroscopic dilatation to attempt into the sheath
Sponsors
Shanghai Pudong New Area Gongli Hospital
Eligibility
Sex/Gender
All
Age
18 Years to 70 Years
Inclusion criteria
Inclusion criteria: 1. In patients with renal pelvis, calyces and upper ureteral calculi, the length and diameter are less than 2.0 cm, and ESWL is difficult to handle, fail or remain (difficult to locate, hard calculi or incarcerated calculi with long residence time, etc.). 2. The patients with extreme obesity and severe spinal deformity are not suitable for percutaneous nephrolithotomy. 3. Patients with symptomatic calyceal diverticulum stones with calyceal neck stenosis.
Exclusion criteria
Exclusion criteria: 1. Special population (patients beyond 18-70 years old and pregnant women); 2. Patients with renal calculi larger than 2cm in diameter, patients with renal infection and infectious calculi; 3. One stage contralateral patients (percutaneous nephrolithotomy, ureteroscopic lithotripsy, RIRS); 4. Patients with ureteral stricture above 3cm and ureteral atresia confirmed by preoperative imaging; 5. Patients with malignant ureteral stricture caused by tumor compression and invasion; 6. Renal transplant patients; 7. Patients who cannot stop the use of anticoagulants; 8. Patients with bleeding tendency; 9. Patients with severe cardiopulmonary insufficiency; 10. Patients with severe hip deformity.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Success rate of one-stage sheath insertion; | — |
Secondary
| Measure | Time frame |
|---|---|
| Success rate of one-stage operation;Operation time;Stone Free Rate;Ureteral injury rate;bleeding rate;infection rate;pain score;hospitalization days;the cost of treatment;patient satisfaction score;incidence of long-term ureteral stricture; | — |
Countries
China
Contacts
Public ContactCui Xingang
Shanghai Pudong new area Gongli Hospital
Outcome results
None listed