Urinary Calculi
Conditions
Keywords
Urethral stones, Acute Cacular urinary retention, Extracorporeal Shock Wave Lithotripsy (ESWL), Visual lithotripsy, bladder stone
Brief summary
The aim of the study is to compare the safety and efficacy of ESWL and visual cystolitholapaxy in management of calcular acute urine retention.
Detailed description
Patients who present with acute urinary retention due to stone in the urethra or urinary bladder will be randomly assigned to receive treatment either by extracorporeal shock wave lithotripsy or by endoscopic visual cystolitholapaxy where patients and stone characteristics will be recorded and the outcome including the intraoperative and postoperative complications and the stone free rate will be also evaluated
Interventions
Patients in this arm will receive ESWL for treatment of acute calcular urinary retention
Patients in this arm will receive endoscopic treatment of acute calcular urinary retention
Sponsors
Study design
Eligibility
Inclusion criteria
1. Adult male patients presenting with acute urinary retention due to urethral or urinary bladder stones. 2. with a stone size not more than 2 centimeters in greatest diameter. 3. No more than 2 stones.
Exclusion criteria
1. Bladder cancer. 2. Bladder replacement of any type. 3. Infravesical obstruction, due to marked benign prostatic hyperplasia, prostate cancer, stricture urethra or external urethral meatal stenosis.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Stone free rate | 1 week | evaluation of stone free rate after the assigned intevention |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Adverse events after the assigned intervention | 1 month | evaluation of adverse events after the assigned intervention |
Countries
Egypt