Comparison of Total Tubeless Mini-PCNL Versus Tubeless Mini-PCNL

Comparison of Total Tubeless Mini-PCNL Versus Tubeless Mini-PCNL : A Randomized Controlled Trial

Limited literature has focused on the use of totally tubeless mini-percutaneous nephrolithotomy (Mini-PCNL) for the treatment of large renal stones.

This Randomized Controlled trial aims to compare complication and safety of Mini-PCNL between total tubeless and tubeless Mini-PCNL.

After being informed about study and potential risks, all patient giving written informed consent with undergo a mini-PCNL operation. Patient who meet the eligibility requirements will be randomized in a single-blind manner (patient) in a 1:1 ratio to total tubeless mini-PCNL or tubeless mini-PCNL.

Inclusion Criteria:

• Patients diagnosed with kidney stones with a size ranging from 20 to 40 millimeters.
• Patients have undergone mini-PCNL, unilateral
• Absence of urinary tract infections before surgery.
• No urological congenital abnormality
• No coagulopathy

Exclusion Criteria:

• Presence of residual stones after the surgery, fragments larger than 4 millimeters.

• Patients with a single functioning kidney

• Complicated cases, including:

  1. massive bleeding in the upper tract during surgery
  2. Severe collecting systems injury during surgery
  3. Severe UPJ mucosa swelling considered unsafe by the physician, requiring the placement of a DJ stent or nephostomy tube

• Participants who decline or request withdrawal from the research study.