Us vs Fluoroscopic Guided Renal Access (Puncture)

Assiut University

Status: Unknown

Conditions: Hydronephrosis

Treatments: Procedure: Renal puncture

Study type: Interventional

Funder types: Other

Identifiers

NCT04090255

Renal puncture

Details and patient eligibility

About

this present study is to compare the result of fluoroscopy, ultrasonography (US) in the guidance of percutaneous nephrostomy pcn .

Full description

investigators will enroll 100 patients who are candidates for PCN in the study. By simple random sampling technique, patients will be assigned to two patient groups (group 1, US-guided approach , group 2, fluoroscopy-guided approach.The end point of the study is the comparison of outcome of procedure including stone free rate, transfusion rate, operation time, access time, length of stay and complications.

Enrollment: 100 estimated patients

Sex: All

Ages: 6 to 90 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• infected hydronephrotic kidney onen's grade 2-3
• obstructed good cortex with backpressure changes onen's grade 2-3 .
• Evaluation of function of asymptomatic hydronephrotic kidney thin cortex onen's grade 4

Exclusion criteria

• congenital anomalies of kidney
• patient underwent transplant or urinary diversion
• solitary kidney

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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100 participants in 2 patient groups

Ultrasonographic guided renal access

Experimental group

Description:

The use of ultrasound to make a puncture in kidney for pcn for drainage or evaluation of function or for shunt of urine

Treatment:

Procedure: Renal puncture

Fluoroscopic guided renal access

Experimental group

Description:

The use of fluoroscopy to make a puncture in kidney for pcn for drainage or evaluation of function or for shunt of urine

Treatment:

Procedure: Renal puncture