Calculi, Renal, Kidney Stone
Conditions
Keywords
Urolithiasis, Endourology, Suction sheath
Brief summary
Prospective study to assist safty and efficieny of our technique of using peumatic lithotripsy with suction mini-pcnl.
Detailed description
anew techniqe was designed to improve the results of pneumatic lithotripsy in suction mini-PCNL by: 1. Customize our instrument to be suitable for a short 12 Fr nephroscope. 2. using certain measures to avoid stone migration during pneumatic disintegration. By fixing stones during disintegration and suction. * Our puncture strategy was planned to prevent stone migration. * Use a suction sheath to gently fix the stone between the tip of the sheath and the inner wall of the kidney and disintegrate it from inside the sheath. * The dormai basket was used to fix the stone in front of the sheath in difficult situations. The investigators will assess disintegration time as the primary endpoint and stone-free rate and complications as secondary endpoints.
Interventions
Using our technique to improve results of peumatic lithotripsy in suction mini-PCNL.
Sponsors
Study design
Intervention model description
Single group quasi interventional prospective study.
Eligibility
Inclusion criteria
* any patient with kidney stones less than 4 cm .
Exclusion criteria
* children less than 3 yrs. * single kidney patient. * patient with ectopic kidney and spinal deformities. * unfit patient for surgry.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Stone disintegration time | Day 1 | Assesment of peumatic lithotripsy time during the operation. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Stone free rate | -after the operation immediately and then after 1 month of the operation. | Presence of residual stones more than 3mm |
| Rate of complications | Intraoperative and immediately post operative till one week. | rate of any intra or postoperative coplications. |
Countries
Egypt