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Are the Stone Density and Location Useful Parameters for Small Kidney Stones?

Are the Stone Density and Location Useful Parameters That Can Determine the Endourological Surgical Technique for Kidney Stones That Are Smaller Than 2 cm? Prospective Randomized Controlled Trial

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03503539
Enrollment
60
Registered
2018-04-20
Start date
2016-04-30
Completion date
2017-06-30
Last updated
2018-04-20

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Kidney Calculi, Kidney Stone

Brief summary

The investigators aimed to evaluate whether these parameters could be guides for us in the selection of RIRS or Mini-PNL procedures in kidney stones that are smaller than 2 cm. The patients that have kidney stones smaller than two cm and be planned to undergo surgery were randomized into 2 groups prospectively. RIRS was performed in the RIRS group using a 7.5-F fiberoptic flexible ureterorenoscope while Mini-PCNL group was dilated up to 16.5F and mini-PCNL was performed with 12F nephroscopy. Preoperative characteristics, operative and postoperative results were compared in two groups. Thereafter, intra and intergroup comparisons were made to determine the effects of HU value, indicating the stone density, higher or less than 677 and the stone location on stone-free rates.

Interventions

PROCEDURERetrograde intrarenal surgery

Sponsors

Abant Izzet Baysal University
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Healthy volunteers
No

Inclusion criteria

* Patients were evaluated with non-contrast abdominopelvic CT after a detailed anamnesis and physical examination. * Patients, who had a kidney stone with a maximum diameter of less than 2 cm and who did not prefer to undergo ESWL, were taken into the study.

Exclusion criteria

* Patients with anomalous kidneys, skeletal deformities, severe obesity (BMI\> 35) and those underwent ESWL treatment previously for the same stone were excluded from the study.

Design outcomes

Primary

MeasureTime frameDescription
Stone free rate1 yearStone-free conditions were determined by low-dose spiral CT taken in postoperative third month

Secondary

MeasureTime frameDescription
Mean fluoroscopy timeİntraoperative duration of flouroscopyİntraoperative duration of flouroscopy time

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026