Flexible Ureteroscopy Versus ESWL in the Management of Lower Calyceal Stones

Cairo University60 enrolled

Overview

to assess safety, efficacy of Flexible ureteroscopy (FURS) holmium:YAG laser lithotripsy (LL) compared to extracorporeal shockwave lithotripsy (ESWL) in management of lower calyceal stones (LC) stones.

to assess stone free rate, number of sessions and complications of flexible ureteroscopy holmium:YAG laser lithotripsy compared to extracorporeal shockwave lithotripsy in the management of lower calyceal stones less than 2 cm in size.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Renal Stones

Interventions

UreteroscopyPROCEDURE

In Group A patients, Karl Storz Flex-X 7.5, FURS with a 365 µm laser fiber.

Shockwave lithotripsyPROCEDURE

In Group B patients, a Siemens Lithostar Lithotriptor

Eligibility

Sex: ALLMin age: 12 Years

Medical Language ↔ Plain English

Inclusion Criteria: * unilateral * radiopaque stone(s) * \< 2 cm * located in the lower calyx. Exclusion Criteria: * Bleeding tendency * distal obstruction * Anomalies of the urinary tract * Solitary kidney

Locations (1)

Cairo University Hospitals

Cairo, Egypt

Outcomes

Primary Outcomes

Stone free rate

no stone fragments or having fragments \<3mm

Time frame: 3 months

Secondary Outcomes

Complications

Bleeding Infection Pain obstruction renal or ureteric injury UTI Fever

Time frame: 3 years

Data from ClinicalTrials.gov

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