CompletedNot Applicable

Mini-PNL, RIRS, and ESWL for Treatment of Medium-Sized, High-Density, Non-Lower Pole, Renal Stones

Egypt255 participantsStarted 2021-04-05

Plain-language summary

The optimal management of medium-sized renal stones remains quite challenging and continues to be contested. In the present study, the investigators will compare mini-PNL, RIRS and SWL in the treatment of non- lower pole, medium size, high dense renal stones regarding the stone-free rate, the safety of the procedures, cost, and patients' and surgeon's satisfaction. Eligible patients will be randomly allocated into three equal groups (mini-PNL, RIRS, and SWL). Postoperative, patients will be followed-up by regularly for 3 months. The study parameters will be compared between groups.

Who can participate

Age range18 Years

SexALL

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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

Inclusion Criteria: * Adult patients (both genders) * Single non-lower pole renal stone. * Stone size: 10-20 mm. * Stone density: \> 1000 HU. Exclusion Criteria: * Pregnant women. * Morbid obesity. * Severe orthopaedic deformities. * Co-morbidities precluding general anaesthesia or prone positioning. * Uncorrectable coagulation disorders. * Active urinary tract infection (UTI). * Stone in a calyceal diverticulum. * Abnormal renal anatomy. * Urinary tract obstruction distal to the stone. * Concomitant pathology that needs intervention in the same setting. * Advanced hydronephrosis.

What they're measuring

Stone-free rate

Timeframe: as detected by non-contrasted computed tomography 3 months after the intervention procedures.

Complication rate

Timeframe: up to 3 months.

Trial details

NCT IDNCT04856722

SponsorAl-Azhar University

Sponsor typeOTHER

Study typeINTERVENTIONAL

Primary completion2024-06-04

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