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Endoscopic Guided PCNL Versus Standard PCNL

Not Applicable
Conditions
Stones, Kidney
Registration Number
NCT04825353
Lead Sponsor
Benha University
Brief Summary

currently, percutaneous nephrolithotomy (PCNL) is the standard procedure of choice for management of large renal more than 2 cm.

the pivotal step in performing PCNL is creation of proper tract. this step can be done monitored under guidance of different modalities such as fluoroscopy, ultrasonography, endoscopy or combined in ECIRS, tract creation is controlled under endoscopic vision with a flexible ureteroscope .

Detailed Description

Aim: compare safety and efficacy and adverse events of ECIRS in comparison of standard fluoroscopic guided PCNL.

patients \& methods: Patients will randomly be divided into two equal groups:

Group A: Patient will undergo ECIRS.

Group B: Patient will undergo standard PCNL

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
150
Inclusion Criteria
  • patients with renal stones diameter of at least 2 cm.
  • American Society of Anesthesiology score ≤ 2.
Exclusion Criteria
  • patients with renal anomalies.
  • transplanted kidney.
  • uncorrected coagulopathy.
  • active infection.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Stone Free Rate3 months post-operative

If their is any residual stones

Secondary Outcome Measures
NameTimeMethod
operative timeintra oprative

the length of operation

blood losspre-operative and 1 day post-oprative

hemoglobin drop

Trial Locations

Locations (1)

Banha university hospital

🇪🇬

Banhā, Qalubia, Egypt

Banha university hospital
🇪🇬Banhā, Qalubia, Egypt

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