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.

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.

Inclusion Criteria:

• 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

Exclusion Criteria:

• 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