Effectiveness of US-Guided PCNL Different Positions in Renal Stones Treatment

NCT05855057 | Completed

• 1 other identifier: RC 14-4-2023
• Study Type: observational
• Target: 123
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this study is to compare the effectiveness of Ultrasound-Guided Percutaneous nephrolithotomyin different positions supine, prone positions and flank suspend supine position in renal stones treatment.

Conditions

Percutaneous Nephrolithotomy; Renal Stones; Ultrasound Therapy; Complications

Outcome Measures

Primary Outcomes (1)

• Stone clearance rate

  Comparison of stone clearance rates among different positions (flank suspended supine, supine, and prone) in Ultrasound-Guided Percutaneous Nephrolithotomy (PCNL) for the treatment of renal stones.

  3 months postoperatively

Secondary Outcomes (3)

• Operative time

  Intraoperatively

• Complication rates

  48 hours Postoperatively

• Stone-free rates

  48 hours Postoperatively

Study Arms (3)

Flank suspended supine position percutaneous nephrolithotomy

This group included 41 patients in flank suspended supine position percutaneous nephrolithotomy.

Procedure: Flank suspended supine position percutaneous nephrolithotomy

Supine percutaneous nephrolithotomy group

This group included 41 patients in supine percutaneous nephrolithotomy.

Procedure: Supine percutaneous nephrolithotomy group

Prone percutaneous nephrolithotomy group

This group included 41 patients in prone percutaneous nephrolithotomy.

Procedure: Prone percutaneous nephrolithotomy group

Interventions

Flank suspended supine position percutaneous nephrolithotomy PROCEDURE

The patients will be placed in the supine position with the shoulder and the buttock will be raised by a 3-l bag of water suspending the flank of the affected side. The body contour will be aligned to the edge of the table. The operating table will be adjusted to the jack knife position, with the tip of the lower part of the table will be slightly lowered. The leg of the affected side of the patent will be straightened dorsally flexed and slightly inner rotated, with the knee of the other side will be flexed. The patients will be then immobilized at the chest and the pelvis with two adherent tapes which crossed each other at the abdomen to form a 'V' shape.

Flank suspended supine position percutaneous nephrolithotomy

Supine percutaneous nephrolithotomy group PROCEDURE

The patient will remain in the supine position, with the side of interest at the edge of the table, with a small cushion placed under the flank to elevate it 15-20°.

Supine percutaneous nephrolithotomy group

Prone percutaneous nephrolithotomy group PROCEDURE

Prone percutaneous nephrolithotomy. The prone position (PRON) technique followed these classic steps: patients will be placed in a lithotomy position and a ureteral catheter will be inserted through a rigid cystoscope to perform a retrograde pyelogram. The ureteral catheter will be fixed to a Foley catheter, and then the patient will be repositioned to the prone position with pads under their shoulders.

Prone percutaneous nephrolithotomy group

Eligibility Criteria

• Age: 18 Years - 70 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

123 patients who underwent Percutaneous nephrolithotomy at the period from 2018 to 2022 and were diagnosed with consecutive, adult obese patients (age \>18-70 years) with renal stones diameter ≥2 cm

You may qualify if:

• patients who underwent Percutaneous nephrolithotomy
• Patient's age from \>18 - 70 years old.
• Body mass index (30-40 kg/m2).
• Both sex
• Renal stones diameter ≥2 cm
• Cardiac patients

You may not qualify if:

• Patient refusal.
• Pregnant women.
• Patients with renal anomalies.
• Transplanted kidney.
• Uncorrected coagulopathy, or active infection.

Sponsors & Collaborators

• Benha University: lead

Study Sites (1)

Benha University Hospitals

Banhā, Egypt

Location

MeSH Terms

Conditions

Nephrolithiasis

Condition Hierarchy (Ancestors)

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

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Lecturer of Urology, Faculty of Medicine, Benha University, Benha, Egypt

Study Record Dates

• First Submitted: May 3, 2023
• First Posted: May 11, 2023
• Study Start: January 20, 2018
• Primary Completion: January 20, 2022
• Study Completion: January 20, 2022
• Last Updated: May 11, 2023

Record last verified: 2023-05

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL
• Time Frame: One year after the end of the study.

Locations

EG (1)