Comparison of Extracorporeal Shock Wave Lithotripsy (ESWL) and Ultra-mini Percutaneous Nephrolithotomy (PCNI), in Renal Stones <20 mm.

Muhammad Aamir Latif

Status: Completed

Conditions: Renal Calculi

Treatments: Procedure: Ultra-mini PCNL; Procedure: Extracorporeal shock wave lithotripsy

Study type: Interventional

Funder types: Other

Identifiers

NCT07610252

Dr-Saleem-BVH

Details and patient eligibility

About

There is a dearth of information comparing ultra-mini PNCL with ESWI in Pakistan for kidney stones smaller than 20 mm. Hence the current study was planned with the objective of comparing the outcome of ESWL and ultra-mini PCNL in renal stones less than 20 mm.

Full description

Even though small PCNL and ESWL are tried-and-true techniques for kidney calculus, their usage poses unique challenges since they need precision to guarantee effective stone removal while minimizing invasiveness. Despite these advantages, selecting the optimum course of action is challenging due to risks of both modalities. The results of this investigation would therefore help to improve the treatment of the patients with renal proximal stones that are smaller than 20 mm.

Enrollment: 138 patients

Sex: All

Ages: 20 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients of any gender
• Aged 20-60 years
• With a single kidney stone in renal pelvis smaller than 20 mm

Exclusion criteria

• Pregnancy
• Hemorrhage problems
• Sepsis and pyonephrosis
• With pelvic kidneys
• Obstruction of the pelvi-ureteric junction
• Chronic illness (chronic liver disease, chronic renal failure, chronic drug use)

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

---

138 participants in 2 patient groups

Group-A

Experimental group

Description:

Patients were treated with ultra-mini PCNL with double J stent implantation.

Treatment:

Procedure: Ultra-mini PCNL

Group-B

Experimental group

Description:

Extracorporeal shock wave lithotripsy (ESWL) with double J stent implantation was performed in patients. Typically, the therapy began with a lower power of 1 kilovolt (kV) and was progressively increased to 20 kV. Each session included no more than 2000 shocks.

Treatment:

Procedure: Extracorporeal shock wave lithotripsy