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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 (BostonĀ® scientific (lithovue) while, Group B : extracorporeal shock wave lithotripsy (ESWL) group underwent electromagnetic extracorporeal shock wave lithotripsy (STORZĀ® MEDICAL Modulith SLX-F2 FD21, Germany) .Group C : Mini perc group underwent holmium laser lithotripsy using KarlĀ® Storz MIP set.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group A :Flexible ureteroscope group | Active Comparator | Flexible ureteroscope (F-URS) group underwent holmium laser lithotripsy using flexible ureteroscopy (BostonĀ® scientific (lithovue) |
|
| Group B : extracorporeal shock wave lithotripsy (ESWL) group | Active Comparator | extracorporeal shock wave lithotripsy (ESWL) group underwent electromagnetic extracorporeal shock wave lithotripsy (STORZĀ® MEDICAL Modulith SLX-F2 FD21, Germany) |
|
| Group C : Mini perc group | Active Comparator | Mini perc group underwent holmium laser lithotripsy using KarlĀ® Storz MIP set. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Lithotripsy using Flexible ureteroscope | Procedure | using Flexible ureteroscope and holmium laser lithotripsy to get high stone clearance rate |
|
| Measure | Description | Time Frame |
|---|---|---|
| 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 |
| Measure | Description | Time Frame |
|---|---|---|
| ssess operative time | assess operative time.in minutes | during the procedure |
| Radiation time | Time of patient exposure for radiation in minutes |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Elsayed Abdelhalim | Zagazig | 44749 | Egypt |
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| ID | Term |
|---|---|
| D052878 | Urolithiasis |
| D007669 | Kidney Calculi |
| ID | Term |
|---|---|
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
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| ID | Term |
|---|---|
| D008096 | Lithotripsy |
| ID | Term |
|---|---|
| D013812 | Therapeutics |
| D059708 | Ultrasonic Surgical Procedures |
| D013514 | Surgical Procedures, Operative |
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| Extracorporeal shock wave lithotripsy (ESWL) | Procedure | using extracorporeal shock wave lithotripsy (ESWL) to get high stone clearance rate |
|
| holmium laser lithotripsy using KarlĀ® Storz MIP | Procedure | using holmium laser lithotripsy using KarlĀ® Storz MIP set to get high stone clearance rate |
|
| during the procedure |
| Post operative complication | Complication may occur post operative complication like fever, sever pain | Up to 48 hours |
| D052801 | Male Urogenital Diseases |
| D053040 | Nephrolithiasis |
| D007674 | Kidney Diseases |
| D014545 | Urinary Calculi |
| D002137 | Calculi |
| D020763 | Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |