Child, Only, Stone, Kidney
Conditions
Keywords
pediatric renal stones, ultrasound shock waves, fluoroscope.
Brief summary
Epidemiological studies have shown a progressive increase in the incidence of pediatric urolithiasis over the past few decades.
Detailed description
Pediatric stone disease is considered endemic in developing nations including Turkey, Pakistan, and eastern countries. The introduction of SWL by Chaussy et al. in the early 1980s revolutionized the management of upper urinary tract calculus disease. Reports of successful SWL in children were first published in 1986; then several reports showed safety, and stone-free rates comparable with those of adults. For successful SWL, accurate localization of the shock waves is performed by ultrasound (US) or fluoroscope (FS) to fully focus the shock waves on the stone
Interventions
PROCEDUREultrasonic focus Shock wave lithotripsy
successful Shock wave lithotripsy , accurate localization of the shock waves is performed by ultrasound (US) to fully focus the shock waves on the stone
PROCEDUREfluoroscopic focus Shock wave lithotripsy
successful Shock wave lithotripsy , accurate localization of the shock waves is performed by fluoroscope (FS) to fully focus the shock waves on the stone
Sponsors
Egymedicalpedia
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
2 Years to 16 Years
Healthy volunteers
No
Inclusion criteria
* Children (2-16) years of age with radiopaque renal pelvic stones less than 20 mm
Exclusion criteria
1. Previous percutaneous nephrolithotripsy at the same side. 2. Previous renal exploration for stones at the same side. 3. Positive urinary culture. 4. Calyceal stones
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Lithotripsy or nephrolithotripsy by Shock waves | from baseline to 3 months after the Lithotripsy date. | Incidence of success of Nephrolithotripsy by using Fluoroscopic shock waves or Ultrasonic shock waves in pediatric renal pelvic stones. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Complications of shockwave lithotripsy | through study completion, an average of 1 year | to evaluate postoperative complications of the lithotripsy as : 1. Incidence of Hematuria 2. Incidence of Fever 3. Incidence of UTI 4. Serum creatinine level in blood 5. Rate of hydronephrosis |
Countries
Egypt
Outcome results
None listed