Mini-PNL, RIRS, and ESWL for Treatment of Medium-Sized, High-Density, Non-Lower Pole, Renal Stones: A Prospective, Randomized, Comparative Study
Status: Completed
Location: See location...
Intervention Type: Procedure
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY
The optimal management of medium-sized renal stones remains quite challenging and continues to be contested. In the present study, the investigators will compare mini-PNL, RIRS and SWL in the treatment of non- lower pole, medium size, high dense renal stones regarding the stone-free rate, the safety of the procedures, cost, and patients' and surgeon's satisfaction. Eligible patients will be randomly allocated into three equal groups (mini-PNL, RIRS, and SWL). Postoperative, patients will be followed-up by regularly for 3 months. The study parameters will be compared between groups.
Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:
• Adult patients (both genders)
• Single non-lower pole renal stone.
• Stone size: 10-20 mm.
• Stone density: \> 1000 HU.
Locations
Other Locations
Egypt
Urology Department, Al-Azhar University Hospital
Cairo
Time Frame
Start Date: 2021-04-05
Completion Date: 2024-06-04
Participants
Target number of participants: 255
Treatments
Experimental: mini-PNL group
In which PCNL will be performed using miniature nephroscope
Experimental: RIRS group
In which RIRS will be performed using a flexible ureteroscope
Experimental: SWL group
In which extracorporeal shock wave lithotripsy will be performed using Dornier lithotripter SII
Authors
Hassan Abdelazeim
Sponsors
Leads: Al-Azhar University