PCNL Without Reverse Catheterization in the Split-leg Prone Position.

Launched by THE FIRST AFFILIATED HOSPITAL OF GUANGZHOU MEDICAL UNIVERSITY · Dec 25, 2024

Keywords

ClinConnect Summary

This clinical trial is looking at a new way to treat large urinary stones using a method called percutaneous nephrolithotomy (PCNL). Traditionally, this procedure requires a series of steps that can take a lot of time and increase the risk of infection. The trial is testing a technique where patients are positioned on their stomachs (known as the split-leg prone position) for the entire procedure, allowing doctors to remove the stones without needing to change positions or insert a catheter first. This approach could make the surgery faster and more straightforward, but it also presents some challenges that the researchers want to explore.

To participate in this trial, you need to be between 18 and 70 years old and have urinary stones that are between 2 and 7 centimeters in size. It’s important that you have not had previous surgeries on your kidneys or have certain anatomical issues, like having a horseshoe kidney. If you join the study, you'll be closely monitored to see how effective and safe this new technique is compared to traditional methods. This research could help improve the way kidney stones are treated in the future, making the process easier for patients.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Consent to enter the RCT;
• • Age 18-70 years old;
• • Upper urinary tract stones 2-7cm;
• Exclusion Criteria:
• • Those who have undergone nephrostomy and second-stage surgery;
• • Patients with abnormal anatomical structures, such as ectopic kidneys, horseshoe kidneys, duplicate kidneys, transplanted kidneys, etc.;
• • Pregnant women;
• • Incomplete or lost to follow-up