Outcomes in Lower Pole Kidney Stone Management Using Mini-PCNL Compared With Retrograde Intra Renal Surgery

Not Applicable

Completed

• Conditions: Kidney Stone
• Interventions: Procedure: RIRS; Procedure: Mini-PCNL

• Registration Number: NCT05714423
• Lead Sponsor: Services Hospital, Lahore

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.

Detailed Description

Not available

Study Timeline

• Study Start: 2020-10-01
• Primary Completion: 2022-11-30
• Study Completion: 2022-12-31
• Status Verified: 2023-01
• Study First Submitted: 2023-01-26
• Study First Submitted QC: 2023-01-26
• Last Update Submitted: 2023-01-26
• Study First Posted: 2023-02-06
• Last Update Posted: 2023-02-06

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 150

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
RIRS Group	RIRS	In this group kidney stones will be treated with Retrograde Intrarenal Surgery.
Mini-PCNL Group	Mini-PCNL	In this group kidney stones will be treated with Mini-PCNL Surgery

Primary Outcome Measures

Name	Time	Method
Stone Clearance	4 weeks	Number of patients cleared from stones assessed by CT scan KUB

Secondary Outcome Measures

Name	Time	Method
Hospital Stay	1 week	Hospital stay will be assessed in days

Trial Locations

Locations (1)

Shaikh Zayed Hospital Lahore; 🇵🇰 Lahore, Punjab, Pakistan