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a prospective comparative study designed to compare the outcomes of transperitoneal Laparoscopic ureterolithotomy (T-LUL), mini-percutaneous antegrade ureteroscopy (A-URS) and retrograde ureteroscopy (R-URS) in treating patients with LPUS (15-20 mm). the following parameters were assessed and compared (demographic data and stones characteristics, Stone free rate and complications)
we aimed in the current study to comprehensively evaluate and to compare the outcome of transperitoneal laparoscopic ureterolithtomy, retrograde ureteroscopy and mini-percutaneous antegrade ureteroscopy for management of large proximal ureteric stone (15 -20 mm) with regards to; operative time, stone free rate, success rate, hospital stay and complications.
A total of 105 participants were enrolled in the trial between April 2021 and June 2023 to accomplish this. Inclusion criteria for this study included patients who had a single proximal Ureteral stone (between the pelvi ureteric junction and the upper border of the sacroiliac joint) measuring 15-20 mm in diameter.
Patients were randomly allocated to receive either TPLU, RURS, or Minin-perc Antegrade URS, with a 1:1:1 allocation ratio. After providing informed permission, the patients were randomly assigned to one of three groups: Group I (35 patients treated with TPLU), Group II (35 patients treated with RURS), and Group III (35 patients not treated with either TPLU or RURS) (Included 35 patients who were treated by Mini-perc Antegrade URS)
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| GROUP(A):transperitoneal laparoscopic ureterolithotomy (T-LUL) | Active Comparator | extraction of proximal ureteral stones by laparoscopic surgery via transperitoneal approach |
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| GROUP (B):retrograde flexible ureteroscopy (R-URS) | Active Comparator | laser lithotripsy of proximal ureteral stones via flexible ureteroscopy retrograde |
|
| GROUP (C):Antegrade mini-percutaneous flexible ureteroscopy (A-URS) | Active Comparator | laser lithotripsy of proximal ureteral stones via percutanous antegrade flexible ureteroscopy |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| transperitoneal laparoscopic ureterolithotomy (T-LUL)/ retrograde flexible ureteroscopy (R-URS) /Antegrade mini-percutaneous flexible ureteroscopy (A-URS) | Procedure | extraction or fragmentation of large proximal ureteral stones via different minimally invasive procedures |
| Measure | Description | Time Frame |
|---|---|---|
| stone free rate (SFR) | SFR is defined as no residual stones or fragments ≤ 4 mm. | immediate (initial SFR ) and 1 -month later (final SFR) |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Urolgy Departement, Faculty of Medicine, Tanta University | Tanta | Outside U.S./Canada | 6620010 | Egypt |
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