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Tubeless vs Tube PCNL in Pediatric Nephrolithiasis
Sponsor: Lady Reading Hospital, Pakistan
Summary
This study is designed to compare two surgical techniques for removing kidney stones in children and adolescents (ages 6-18 years). Both methods are types of percutaneous nephrolithotomy (PCNL), a standard procedure for kidney stones larger than 10 mm. In the traditional method, a temporary tube (nephrostomy tube) is left in the kidney after surgery to drain urine. In the newer "tubeless" method, the tube is not used, and only a small internal stent may be placed. We want to find out if the tubeless method is as safe and effective as the traditional method, and whether it reduces pain, hospital stay, and the need for blood transfusions. The study involves 640 patients at Khyber Teaching Hospital in Peshawar, Pakistan. Each participant is randomly assigned to one of the two techniques.
Official title: Comparison Between Tubeless and Tube Percutaneous Nephrolithotomy in Pediatric Population: A Randomized Controlled Trial
Key Details
Gender
All
Age Range
6 Years - 18 Years
Study Type
INTERVENTIONAL
Enrollment
640
Start Date
2024-10-01
Completion Date
2025-09-10
Last Updated
2026-08-26
Healthy Volunteers
No
Conditions
Interventions
Tubeless Percutaneous Nephrolithotomy (PCNL)
Mini-PCNL with tract dilation up to 18 Fr and stone fragmentation by pneumatic lithotripsy. Following clearance, a double-J stent is placed; no nephrostomy tube is inserted.
Standard Tube Percutaneous Nephrolithotomy (PCNL)
Mini-PCNL with tract dilation up to 18 Fr and stone fragmentation by pneumatic lithotripsy. Following clearance, a 14 Fr nephrostomy tube and a double-J stent are placed.
Locations (1)
Khyber Teaching Hospital, Peshawar
Peshawar, Khyber Pakhtunkhwa, Pakistan