Efficacy of Different Modalities on Management of Renal Hard Stones
Comparative Outcomes of FURS, ESWL and Mini-PCNL for Non-Lower Pole Hard Renal Stones: A Prospective Randomized Study.
1 other identifier
interventional
300
1 country
1
Brief Summary
The study has been conducted in Urology department at Kafrelsheikh University Hospital between Feburary 2021 to December 2023. informed consent was taken from eligible patients and were randomized into three groups, Group A :Flexible ureteroscope (F-URS) group underwent holmium laser lithotripsy using flexible ureteroscopy (Boston® scientific (lithovue) while, Group B : extracorporeal shock wave lithotripsy (ESWL) group underwent electromagnetic extracorporeal shock wave lithotripsy (STORZ® MEDICAL Modulith SLX-F2 FD21, Germany) .Group C : Mini perc group underwent holmium laser lithotripsy using Karl® Storz MIP set.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Feb 2021
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
February 1, 2021
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 30, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
December 30, 2023
CompletedFirst Submitted
Initial submission to the registry
February 25, 2026
CompletedFirst Posted
Study publicly available on registry
March 3, 2026
CompletedMarch 4, 2026
March 1, 2026
2.9 years
February 25, 2026
March 2, 2026
Conditions
Outcome Measures
Primary Outcomes (1)
stone free rate
no stone residual fragments or asymptomatic insignificant residual fragments less than or equal to 4 mm during patients follow up two weeks.
two weeks from primary procedure
Secondary Outcomes (3)
ssess operative time
during the procedure
Radiation time
during the procedure
Post operative complication
Up to 48 hours
Study Arms (3)
Group A :Flexible ureteroscope group
ACTIVE COMPARATORFlexible ureteroscope (F-URS) group underwent holmium laser lithotripsy using flexible ureteroscopy (Boston® scientific (lithovue)
Group B : extracorporeal shock wave lithotripsy (ESWL) group
ACTIVE COMPARATORextracorporeal shock wave lithotripsy (ESWL) group underwent electromagnetic extracorporeal shock wave lithotripsy (STORZ® MEDICAL Modulith SLX-F2 FD21, Germany)
Group C : Mini perc group
ACTIVE COMPARATORMini perc group underwent holmium laser lithotripsy using Karl® Storz MIP set.
Interventions
using Flexible ureteroscope and holmium laser lithotripsy to get high stone clearance rate
using extracorporeal shock wave lithotripsy (ESWL) to get high stone clearance rate
using holmium laser lithotripsy using Karl® Storz MIP set to get high stone clearance rate
Eligibility Criteria
You may qualify if:
- Adult patient older than 18 years.
- single renal stone.
- medium sized Stone up to 2.0 cm .
- Do novo
- Stone in plevicalyceal except lower calyceal stone
- Hard stone
You may not qualify if:
- multiple renal stones
- Stone in lower calyceal stone
- stone size \> 2 cm
- age group \< 18
- solitary kidney
- Patients with BMI \> 40 kg/m2
- bleeding disorders
- anatomical renal abnormalities
- Obstruction distal to the stone.
- Musculoskeletal deformities
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Elsayed Abdelhalim
Zagazig, 44749, Egypt
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- assistant lecturer of urology
Study Record Dates
First Submitted
February 25, 2026
First Posted
March 3, 2026
Study Start
February 1, 2021
Primary Completion
December 30, 2023
Study Completion
December 30, 2023
Last Updated
March 4, 2026
Record last verified: 2026-03