Effectiveness of US-Guided PCNL Different Positions in Renal Stones Treatment

Benha University

Status: Completed

Conditions: Percutaneous Nephrolithotomy; Ultrasound Therapy; Complications; Renal Stones

Treatments: Procedure: Prone percutaneous nephrolithotomy group; Procedure: Supine percutaneous nephrolithotomy group; Procedure: Flank suspended supine position percutaneous nephrolithotomy

Study type: Observational

Funder types: Other

Identifiers

NCT05855057

RC 14-4-2023

Details and patient eligibility

About

The aim of this study is to compare the effectiveness of Ultrasound-Guided Percutaneous nephrolithotomyin different positions supine, prone positions and flank suspend supine position in renal stones treatment.

Full description

Percutaneous nephrolithotomy (PCNL) has become the choice of modality for the treatment of large and complicated renal calculi. Initially, percutaneous access to the kidney was only performed in the prone position, as described sixty years ago.

Enrollment: 123 patients

Sex: All

Ages: 18 to 70 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• patients who underwent Percutaneous nephrolithotomy
• Patient's age from >18 - 70 years old.
• Body mass index (30-40 kg/m2).
• Both sex
• Renal stones diameter ≥2 cm
• Cardiac patients

Exclusion criteria

• Patient refusal.
• Pregnant women.
• Patients with renal anomalies.
• Transplanted kidney.
• Uncorrected coagulopathy, or active infection.

Trial design

123 participants in 3 patient groups

Flank suspended supine position percutaneous nephrolithotomy

Description:

This group included 41 patients in flank suspended supine position percutaneous nephrolithotomy.

Treatment:

Procedure: Flank suspended supine position percutaneous nephrolithotomy

Supine percutaneous nephrolithotomy group

Description:

This group included 41 patients in supine percutaneous nephrolithotomy.

Treatment:

Procedure: Supine percutaneous nephrolithotomy group

Prone percutaneous nephrolithotomy group

Description:

This group included 41 patients in prone percutaneous nephrolithotomy.

Treatment:

Procedure: Prone percutaneous nephrolithotomy group