Hydronephrosis
Conditions
Brief summary
this present study is to compare the result of fluoroscopy, ultrasonography (US) in the guidance of percutaneous nephrostomy pcn .
Detailed description
investigators will enroll 100 patients who are candidates for PCN in the study. By simple random sampling technique, patients will be assigned to two patient groups (group 1, US-guided approach , group 2, fluoroscopy-guided approach.The end point of the study is the comparison of outcome of procedure including stone free rate, transfusion rate, operation time, access time, length of stay and complications.
Interventions
The use of a needle for entering pelvicalyceal system of the kidney and put a guide wire for further pcn
Sponsors
Study design
Eligibility
Inclusion criteria
* infected hydronephrotic kidney onen's grade 2-3 * obstructed good cortex with backpressure changes onen's grade 2-3 . * Evaluation of function of asymptomatic hydronephrotic kidney thin cortex onen's grade 4
Exclusion criteria
* congenital anomalies of kidney * patient underwent transplant or urinary diversion * solitary kidney
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Duration of puncture | Within the operation | The time taken for make a puncture |
| duration of operation | withen the operation | time taken from patient putted on table until end of operation |
| Rate of success | withen the operation | the rate success of intervention by u/s or by fluoroscopy |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| rate of Perioperative complication | withen the operation | numbers of patients with Adverse effects occures intra operative ,bleeding ,extravasation |
| Haemoglobin concentration change | 24 hours post procedure | Compare preoperative and post operative Hg concentration |
Countries
Egypt