Flexible Ureteroscopy Versus ESWL in the Management of Lower Calyceal Stones

Cairo University (CU)

Status: Completed

Conditions: Renal Stones

Treatments: Procedure: Ureteroscopy; Procedure: Shockwave lithotripsy

Study type: Interventional

Funder types: Other

Identifiers

NCT02658942

62120

Details and patient eligibility

About

to assess safety, efficacy of Flexible ureteroscopy (FURS) holmium:YAG laser lithotripsy (LL) compared to extracorporeal shockwave lithotripsy (ESWL) in management of lower calyceal stones (LC) stones.

Full description

to assess stone free rate, number of sessions and complications of flexible ureteroscopy holmium:YAG laser lithotripsy compared to extracorporeal shockwave lithotripsy in the management of lower calyceal stones less than 2 cm in size.

Enrollment: 60 patients

Sex: All

Ages: 12+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• unilateral
• radiopaque stone(s)
• < 2 cm
• located in the lower calyx.

Exclusion criteria

• Bleeding tendency
• distal obstruction
• Anomalies of the urinary tract
• Solitary kidney

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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60 participants in 2 patient groups

Ureteroscopy

Active Comparator group

Description:

Intervention: Flexible ureteroscopy for removal of lower calyceal stones using holmium:YAG laser lithotripsy

Treatment:

Procedure: Ureteroscopy

Shockwave lithotripsy

Active Comparator group

Description:

Intervention: Shockwave lithotripsy for lithotripsy of lower calyceal stones using Siemens Lithostar Lithotriptor

Treatment:

Procedure: Shockwave lithotripsy