Urological and Genital Diseases
Conditions
Interventions
Stepwise ESWL
Fixed dose Extracorporeal Shock Wave Lithotripsy
Sponsors
Sohag University Faculty of Medicine Department of Urology
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: • Radiopaque renal or proximal/mid ureteral stone =20 mm. • eGFR =60 mL/min/1.73 m². • Fit for ESWL. • Able to give informed consent and complete follow up.
Exclusion criteria
Exclusion criteria: • Pregnancy. • Active, untreated UTI. • Uncorrected bleeding disorder or anticoagulation that cannot be stopped. • Prior ipsilateral renal surgery. • Non radio-opaque stone without reliable imaging. • Inability to tolerate ESWL or required anesthesia.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| •Stone free rate at 4 weeks: no residual fragment >4 mm on NCCT; residual fragments =4 mm considered clinically insignificant and counted as stone free. | — |
Secondary
| Measure | Time frame |
|---|---|
| Retreatment rate within 12 weeks, time to stone clearance, complication rate (Clavien–Dindo), pain scores (VAS), hospitalization rate, serious adverse events through 12 weeks, and quality of life (EQ-5D/SF-36). | — |
Countries
Egypt
Contacts
Public ContactAbdelmoneim Mohamed Abouzeid
professor of urology department sohag univerrsity
Outcome results
None listed