Laser Versus Ultrasonic Lithotripsy in Percutaneous Nephrolithotomy for Staghorn Stones

N/ACompletedNCT01922414

Mansoura University70 enrolled

Overview

This study will be conducted to compare the results of Laser and ultrasonic lithotripsy in disintegration of staghorn stones during percutaneous nephrolithotomy.

Patients with complete staghorn stones who are eligible to percutaneous nephrolithotomy (PNL) will be randomized between two groups. Group 1: will undergo Laser lithotripsy during PNL Group 2: will undergo ultrasonic lithotripsy during PNL

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Kidney Stones

Interventions

LaserDEVICE

Patients will undergo laser lithotripsy durin PNL

UltrasonicDEVICE

Patients will undergo ultrasonic lithotripsy during PNL

Eligibility

Sex: ALLMin age: 18 YearsMax age: 70 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Complete staghorn stones (filling the renal pelvis and branching to 3 major calyces 2. Age: 18-70 years Exclusion Criteria: 1. Congenital renal anomalies such as horse shoe kidney. 2. Contraindications to PNL such as bleeding tendency and uncontrolled hypertension. 3. Associated pathological features requiring open intervention such as UPJO 4. Partial staghorn stones (filling the renal pelvis and branching to 2 major calyces) 5. Giant staghorn stone (very large staghorn stone that branch and re-branch in hugely dilated calyceal system)

Locations (1)

Urology and Nephrology Center

Al Mansurah, Dakhlia, Egypt

Outcomes

Primary Outcomes

Stone Free rate

Assessment of stone free rate after 3 months from treatment using NCCT

Time frame: Patients will be followed for 3 months after the procedure

Secondary Outcomes

Assessment of the safety of each technique

Measurement of complication rates, classifications of the severity of complications

Time frame: From the start of the operation till 3 months after discharge from the hospital

Operative time

Measurement of the time from start of ureteral catheter fixation till the fixation of the nephrostomy tube

Time frame: An expected average of 3 hours

Hospital stay

Time frame: up to 7 days

Data from ClinicalTrials.gov

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