Ureteral Stents Versus Percutaneous Nephrostomy for Initial Urinary Drainage in Children With Obstructive Anuria and Acute Renal Failure Due to Ureteral Calculi: a Prospective, Randomized Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 90
- 试验地点
- 2
- 主要终点
- Period to Return to Normal Creatinine
研究概览
简要总结
To compare percutaneous nephrostomy (PCN) versus double J stent (JJ) as an initial urinary drainage in children
详细描述
To compare percutaneous nephrostomy (PCN) versus double J stent (JJ) as an initial urinary drainage in children with obstructive calcular anuria and acute renal failure due to ureteric calculi to identify selection criteria for initial urinary drainage method to improve drainage, to decrease complications and to facilitate subsequent definitive clearance of stones as this comparison is lacking in literature
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- — 至 12 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •children ≤12 years old presenting with Obstructive Anuria and Acute Renal Failure due to bilateral ureteric stones
排除标准
- •Patients with grade 0-1 hydronephrosis
- •fever, pyonephrosis or sepsis.
- •any contraindication to both methods of drainage (urinary diversion, urethral stricture or uncontrolled coagulopathy).
结局指标
主要结局
Period to Return to Normal Creatinine
时间窗: 1 week
period required for normalization of serum creatinine after initial urinary drainage using percutaneous nephrostomy or ureteric stent in children with obstructive calcular anuria and Acute Renal Failure serum creatinine was compared to normal values in matched healthy children
Complications of Each Drainage Method
时间窗: 1 week
complications of initial urinary drainage using percutaneous nephrostomy or ureteric stent in children with Obstructive Anuria and Acute Renal Failure (mucosal complications, failure of insertion, slippage, fever and infection, hematuria, leakage) complications were calculated per 45 ureterorenal units in PCN group and 90 ureterorenal units in Double J group
次要结局
- The Number of Subsequent Interventions Needed for Clearance of Stones .(6 months)
研究者
mohammed said elsheemy
Associte professor of urology
Cairo University