To compare staged ureteroscopy following initial urinary drainage versus direct ureteroscopy without initial urinary drainage in the treatment of obstructive calcular anuria with acute renal failure in children.
To compare staged ureteroscopy following initial urinary drainage and stabilization of renal functions using percutaneous nephrostomy or double J stent versus direct ureteroscopy without initial urinary drainage in the treatment of obstructive calcular anuria with acute renal failure due to ureteric calculi in children.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
50
initial urinary drainage is done using nephrostomy or double J stent to stabilize renal functions. this is followed several days later by definitive ureteroscopy.
direct ureteroscopy is done without initial urinary drainage and before return to normal chemistry. this is followed follow-up of renal functions for several days before treatment of the contralateral side.
Cairo University Hospitals
Cairo, Egypt
RECRUITINGCairo University Hospitals
Cairo, Egypt
NOT_YET_RECRUITINGReturn to normal creatinine
period for return to normal creatinine in both groups
Time frame: 1 week
stone free status
success in removal of ureteric stones using ureteroscopy
Time frame: 1 week
operative and early post operative complications
Hematuria, Extravasation (perforation), mucosal complications, stone migration, failure of ureteric access, fever
Time frame: 1 week
ureteric stricture
occurrence of ureteric stricture as a delayed complication
Time frame: 6 months
period to reach stone free status bilaterally
period to reach stone free status bilaterally after the treatment of the contralateral side
Time frame: 6 months
number of times of exposure to general anesthesia
number of times of exposure to general anesthesia during successive interventions to clear stones bilaterally
Time frame: 6 months
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