The study has been conducted in Urology department at Kafrelsheikh University Hospital between Feburary 2021 to December 2023. informed consent was taken from eligible patients and were randomized into three groups, Group A :Flexible ureteroscope (F-URS) group underwent holmium laser lithotripsy using flexible ureteroscopy (Boston® scientific (lithovue) while, Group B : extracorporeal shock wave lithotripsy (ESWL) group underwent electromagnetic extracorporeal shock wave lithotripsy (STORZ® MEDICAL Modulith SLX-F2 FD21, Germany) .Group C : Mini perc group underwent holmium laser lithotripsy using Karl® Storz MIP set.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
300
using Flexible ureteroscope and holmium laser lithotripsy to get high stone clearance rate
using extracorporeal shock wave lithotripsy (ESWL) to get high stone clearance rate
using holmium laser lithotripsy using Karl® Storz MIP set to get high stone clearance rate
Elsayed Abdelhalim
Zagazig, Egypt
stone free rate
no stone residual fragments or asymptomatic insignificant residual fragments less than or equal to 4 mm during patients follow up two weeks.
Time frame: two weeks from primary procedure
ssess operative time
assess operative time.in minutes
Time frame: during the procedure
Radiation time
Time of patient exposure for radiation in minutes
Time frame: during the procedure
Post operative complication
Complication may occur post operative complication like fever, sever pain
Time frame: Up to 48 hours
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