Standard Percutaneous Nephrolithotomy Percutaneous Nephrolithotomy (PNL) Versus Tubeless PNL Versus Tubeless Stentless PNL
Status and phase
Conditions
Treatments
Details and patient eligibility
About
The purpose of the study is to assess and compare the efficacy and morbidity standard percutaneous nephrolithotomy with tubeless PNL. A total of approximately 60 patients will be enrolled. Patients will be randomized to one of four groups: standard percutaneous nephrostomy, double-J ureteral stent, open-ended ureteral catheter and no nephrostomy or ureteral stent/catheter. Primary Outcome Measures will include length of procedure and estimated blood loss. Post-operative analgesic use (both parenteral and oral), pain scores, time to ambulation, time to oral intake, and pain scores will also be recorded. Time to nephrostomy tube removal, external ureteral and Foley catheter removal and patient discharge from the hospital will also be recorded. Incidence and type of post-operative complications will also be recorded.
Enrollment
Sex
Ages
Volunteers
Inclusion criteria
- Age >18 years old
- Planned single tract percutaneous nephrolithotomy
- General anesthesia for percutaneous nephrolithotomy
Exclusion criteria
- Age<18 years old
- Known residual calculi at the end of the procedure
- Significant hemorrhage during procedure
- Bleeding disorder (This does not include patients taking anti-coagulants as these are stopped prior to surgery.)
- Prisoners
- Inability to give informed consent
- Pregnant females
- Solitary kidney
- Transplant kidney
- Pleural effusion during procedure requiring drainage
- Perforation of renal collecting system during procedure
- Incomplete stone clearance
- Chronic pain syndrome
Trial design
Primary purpose
Allocation
Interventional model
Masking
60 participants in 4 patient groups
Trial contacts and locations
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Data sourced from clinicaltrials.gov
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