Urological and Genital Diseases
Conditions
Interventions
Papillary puncture
Non papillary puncture
Sponsors
Tanta University Hospital
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: All adult patients with renal stones who are fit for surgical intervention and planned to have PCNL.
Exclusion criteria
Exclusion criteria: • Patients who are unfit for surgery due to chronic debilitating diseases (e.g., severe hepatic cirrhosis), uncorrectable bleeding diathesis or immunodeficiency syndromes. • Patients with solitary kidney or single functioning kidney. • Patients with congenital anatomical variants (horseshoe kidney or ectopic kidney). • Patients with chronic renal impairment of serum creatinine > 2 mg/dL • Patients who refuse surgery. • Pregnant females.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The aim of this study is to prospectively compare the perioperative outcomes of the standard papillary and the non-papillary accesses in cases of percutaneous nephrolithotomy in terms of safety, feasibility, and efficacy. The primary outcome is safety of the technique, whichwhich will be evaluated by assessing the perioperative complications’ rate and type including fever, elevation of serum creatinine, hemoglobin drop, blood transfusion, injury to the lungs or bowel or other abdominal organs, persistent nephrocutaneous fistula, infundibular stenosis and death. | — |
Secondary
| Measure | Time frame |
|---|---|
| Feasibility will be assessed by calculating the success rate of obtaining an access and the fluoroscopy time passed till puncture is made.;Efficacy will be measured by recording the one-month stone free rate in each arm and the need for any auxiliary procedures. | — |
Countries
Egypt
Contacts
Public ContactMohamed Elbendary
Professor and Consultant of Urology
Outcome results
None listed