Renal Stones
Conditions
Keywords
Hard stones
Brief summary
The study has been conducted in Urology department at Kafrelsheikh University Hospital between March 2022 to March 2023. informed consent was taken from eligible patients and were randomized into three groups, Group A :Flexible ureteroscope (F-URS) group underwent holmium laser lithotripsy using flexible ureteroscopy (Boston® scientific (lithovue) while, Group B : extracorporeal shock wave lithotripsy (ESWL) group underwent electromagnetic extracorporeal shock wave lithotripsy (STORZ® MEDICAL Modulith SLX-F2 FD21, Germany) .Group C : Mini perc group underwent holmium laser lithotripsy using Karl® Storz MIP set.
Interventions
using Flexible ureteroscope and holmium laser lithotripsy to get high stone clearance rate
using extracorporeal shock wave lithotripsy (ESWL) to get high stone clearance rate
PROCEDUREholmium laser lithotripsy using Karl® Storz MIP set
using holmium laser lithotripsy using Karl® Storz MIP set to get high stone clearance rate
Sponsors
Elsayed Abdelhalim Elsayed
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Adult patient older than 18 years. * single renal stone. * medium sized Stone up to 2.0 cm . * Do novo * Stone in lower calyceal stone * Hard stone
Exclusion criteria
* • multiple renal stones * stone size \> 2 cm * age group \< 18 * solitary kidney * Patients with BMI \> 40 kg/m2 * bleeding disorders * anatomical renal abnormalities * Obstruction distal to the stone. * Musculoskeletal deformities
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| stone free rate | after two weeks from primary procedure | no stone residual fragments or asymptomatic insignificant residual fragments less than or equal to 4 mm during patients follow up two weeks. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| assess operative time. | during the procedure | assess operative time.in minutes |
| visual analog scale | immediately after the surgery | Patient self dependent to assess degree of own pain, consists of a 10cm line, with two end points representing 0 minimum score('no pain') and 10 maximum score('pain as bad as it could possibly be').higher scores mean a worse outcome. |
| Radiation time | during the procedure | Time of patient exposure for radiation in minutes |
| Post operative complication | Up to 48 hours | Complication may occur post operative complication like fever, sever pain |
Countries
Egypt
Outcome results
None listed