Shock Wave Lithotripsy Using Fluoroscopic Versus Ultrasonic Localization

Egymedicalpedia100 enrolled

Overview

Epidemiological studies have shown a progressive increase in the incidence of pediatric urolithiasis over the past few decades.

Pediatric stone disease is considered endemic in developing nations including Turkey, Pakistan, and eastern countries. The introduction of SWL by Chaussy et al. in the early 1980s revolutionized the management of upper urinary tract calculus disease. Reports of successful SWL in children were first published in 1986; then several reports showed safety, and stone-free rates comparable with those of adults. For successful SWL, accurate localization of the shock waves is performed by ultrasound (US) or fluoroscope (FS) to fully focus the shock waves on the stone

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

100

Conditions

Stone, Kidney Child, Only

Interventions

ultrasonic focus Shock wave lithotripsyPROCEDURE

successful Shock wave lithotripsy , accurate localization of the shock waves is performed by ultrasound (US) to fully focus the shock waves on the stone

fluoroscopic focus Shock wave lithotripsyPROCEDURE

successful Shock wave lithotripsy , accurate localization of the shock waves is performed by fluoroscope (FS) to fully focus the shock waves on the stone

Eligibility

Sex: ALLMin age: 2 YearsMax age: 16 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Children (2-16) years of age with radiopaque renal pelvic stones less than 20 mm Exclusion Criteria: 1. Previous percutaneous nephrolithotripsy at the same side. 2. Previous renal exploration for stones at the same side. 3. Positive urinary culture. 4. Calyceal stones

Locations (1)

Urology department - faculty of medicine, South Valley university

Qina, Egypt

Outcomes

Primary Outcomes

Lithotripsy or nephrolithotripsy by Shock waves

Incidence of success of Nephrolithotripsy by using Fluoroscopic shock waves or Ultrasonic shock waves in pediatric renal pelvic stones.

Time frame: from baseline to 3 months after the Lithotripsy date.

Secondary Outcomes

Complications of shockwave lithotripsy

to evaluate postoperative complications of the lithotripsy as : 1. Incidence of Hematuria 2. Incidence of Fever 3. Incidence of UTI 4. Serum creatinine level in blood 5. Rate of hydronephrosis

Time frame: through study completion, an average of 1 year

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.