Flexible Ureteroscopy Versus Percutaneous Nephrolithotomy As Primary Treatment in Renal Stones 2-3 Cm

Cairo University (CU)

Status: Completed

Conditions: Urolithiasis; Stones Ureter; Stones, Kidney

Treatments: Procedure: RIRS; Procedure: PNL

Study type: Interventional

Funder types: Other

Identifiers

NCT06892626

FURS-PCNL

Details and patient eligibility

About

Flexible Ureteroscopy versus Percutaneous Nephrolithotomy as Primary Treatment in Renal Stones 2-3 Cm

Enrollment: 122 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

stone burden from 2- 3 cm, single or multiple stones and radio-opaque or radio-lucent stones.

Exclusion criteria

stone burden from 2- 3 cm, single or multiple stones and radio-opaque or radio-lucent stones.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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122 participants in 2 patient groups

RIRS

Experimental group

Description:

RIRS performed in lithotomy position for which guide wire pass to the kidney, then passing ureteral dilators up to 14F and ureteral access sheath. Dusting stones by RIRS and holmium laser Fiber 200 mm, at the end of operation DJ was fixed.

Treatment:

Procedure: RIRS

PNL

Experimental group

Description:

PNL performed in prone position, after passing guide wire and ureteric catheter in lithotomy position. Puncture to the kidney, passing 2 wires, then using renal dilators and access sheath to enter kidney by nephroscopy, fragment stones by pneumatic and remove stones, then place nelaton 28F at end of operation.

Treatment:

Procedure: PNL