Outcomes in Lower Pole Kidney Stone Management Using Mini-PCNL Compared With Retrograde Intra Renal Surgery: A Randomized Controlled Trial
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 150
- Locations
- 1
- Primary Endpoint
- Stone Clearance
Study Overview
Brief Summary
Due to the anatomic characteristics of the lower calyx, lower pole stones are difficult to be eliminated through the ureter, even if the stones had been fragmented. Retrograde intrarenal surgery (RIRS) can be used to deal with lower pole stones of 1.0-2.0 cm, while percutaneous nephrolithotripsy (PCNL) is mainly used to deal with lower pole stones with larger diameter or when RIRS failed to resolve the stone. This study was conducted to compare mini PCNL and retrograde intrarenal surgery (RIRS) for the management of lower pole kidney stones in terms of efficacy.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to 80 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Renal stone at lower pole of size 10mm -20mm
Exclusion Criteria
- •Patients with positive urine culture,
- •Patients with anatomical abnormalities determined by ultrasonography
- •Uncontrolled diabetes (HbA1c >9%)
- •Patients undergone previous renal surgery
Arms & Interventions
Mini-PCNL Group
In this group kidney stones will be treated with Mini-PCNL Surgery
Intervention: Mini-PCNL (Procedure)
RIRS Group
In this group kidney stones will be treated with Retrograde Intrarenal Surgery.
Intervention: RIRS (Procedure)
Outcomes
Primary Outcomes
Stone Clearance
Time Frame: 4 weeks
Number of patients cleared from stones assessed by CT scan KUB
Secondary Outcomes
- Hospital Stay(1 week)
Investigators
Dr. SamiUllah
Principal Investigator
Services Hospital, Lahore