Ultrasound Guided Ureteroscopy and Ureteric Stones

NCT03404986 | Completed

• 1 other identifier: USUUS
• Study Type: interventional
• Target: 80
• Locations: 1 country
• Sites: 1

Brief Summary

The prevalence of urolithiasis is steadily increasing with an estimation of 1 out of 11 people in the United States. The prevalence of calculi in Afro-Asian region including Arab Republic of Egypt ranges from 4% to 20%. Ureteroscopy is one of the first line treatments for definitive management of ureteric stones. Conventional ureteroscopy relies on intraoperative fluoroscopy for visualization and guidance, exposing the patient, surgeon and operating room staff to ionizing radiation. To minimize the hazards of ionizing radiation there has been a trend toward radiation free alternative imaging modalities . Ultrasound provides an excellent alternative for upper urinary tract imaging because it is radiation free, rapid, portable and allows excellent visualization of the renal pelvis and calyces. There is increasing awareness and concern about the clinical use of ionizing radiation and the need to decrease exposure of patients and medical professionals. Ultrasound guided ureteroscopy in pregnant females and children- in whom fluoroscopy is to be minimized or avoided when possible - has been reported.

Conditions

Ureteric Stone

Outcome Measures

Primary Outcomes (1)

• Number of patients treated effectively by the two methods

  1 hour

Study Arms (2)

Standardized ureteroscopy group

OTHER

Procedure: ureteroscopy

Ultrasonography ureteroscopy group

OTHER

Procedure: ureteroscopy; Radiation: Ultrasonography

Interventions

ureteroscopy PROCEDURE

The patients will be subjected to rigid ureteroscopy

Standardized ureteroscopy group; Ultrasonography ureteroscopy group

Ultrasonography RADIATION

The patients will be subjected to Ultrasonography

Ultrasonography ureteroscopy group

Eligibility Criteria

• Age: 18 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Patients with single symptomatic lower third ureteric radio-opaque stones indicated for endoscopic treatment.
• Age group 18 years old or above.
• Stone size 15 mm or less.

You may not qualify if:

• Patients with bilateral ureteric stones
• Ureteric congenital anomalies e.g. double ureter and ectopic ureter.
• Previously failed ureteroscopy or previous ureteroneocystostomy.

Sponsors & Collaborators

• Assiut University: lead

Study Sites (1)

Women Health Hospital - Assiut university

Asyut, 71111, Egypt

Location

MeSH Terms

Conditions

Ureterolithiasis

Interventions

Ureteroscopy; High-Energy Shock Waves

Condition Hierarchy (Ancestors)

Ureteral Diseases; Urologic Diseases; Female Urogenital Diseases; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Urolithiasis; Male Urogenital Diseases

Intervention Hierarchy (Ancestors)

Endoscopy; Diagnostic Techniques, Surgical; Diagnostic Techniques and Procedures; Diagnosis; Diagnostic Techniques, Urological; Minimally Invasive Surgical Procedures; Surgical Procedures, Operative; Urologic Surgical Procedures; Urogenital Surgical Procedures; Ultrasonic Waves; Sound; Radiation, Nonionizing; Radiation; Physical Phenomena

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Resident

Study Record Dates

• First Submitted: January 14, 2018
• First Posted: January 19, 2018
• Study Start: April 1, 2018
• Primary Completion: April 1, 2020
• Study Completion: April 1, 2020
• Last Updated: December 5, 2022

Record last verified: 2022-12

Locations

EG (1)