Renal Stones
Conditions
Keywords
renal stones, lower calyx, Ureteroscopy, Shockwave lithotripsy, Holmium laser, Adult, Kidney
Brief summary
to assess safety, efficacy of Flexible ureteroscopy (FURS) holmium:YAG laser lithotripsy (LL) compared to extracorporeal shockwave lithotripsy (ESWL) in management of lower calyceal stones (LC) stones.
Detailed description
to assess stone free rate, number of sessions and complications of flexible ureteroscopy holmium:YAG laser lithotripsy compared to extracorporeal shockwave lithotripsy in the management of lower calyceal stones less than 2 cm in size.
Interventions
In Group A patients, Karl Storz Flex-X 7.5, FURS with a 365 µm laser fiber.
In Group B patients, a Siemens Lithostar Lithotriptor
Sponsors
Study design
Eligibility
Inclusion criteria
* unilateral * radiopaque stone(s) * \< 2 cm * located in the lower calyx.
Exclusion criteria
* Bleeding tendency * distal obstruction * Anomalies of the urinary tract * Solitary kidney
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Stone free rate | 3 months | no stone fragments or having fragments \<3mm |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Complications | 3 years | Bleeding Infection Pain obstruction renal or ureteric injury UTI Fever |
Countries
Egypt