Comparing Mini-Percutaneous Nephrolithotomy and Flexible Ureteroscopy with Suction Sheath for Removing 2-3 cm Kidney Stones

What this Trial Is About

This research aims to compare the safety and effectiveness of two minimally invasive surgical methods for removing kidney stones sized 2 to 3 centimeters. The study is designed as a randomized controlled trial to evaluate which approach results in a higher stone-free rate after surgery. Researchers also plan to assess differences in surgery time, hospital stay length, and complication rates between the two options. One treatment, Mini-Percutaneous Nephrolithotomy Mini-PCNL, involves creating a small opening in the back to access the kidney directly with a miniature scope for stone removal. The other method, Flexible Ureteroscopy FURS with a tip-bendable suction sheath, uses a flexible scope passed through the urinary tract, enhanced by integrated suction to help clear stone fragments. Both procedures are performed under general anesthesia, with detailed surgical steps including stent placement after surgery to aid healing. Participants will undergo assigned surgery and be monitored with imaging one month post-operation to measure stone clearance. Researchers will track operative time and length of hospital stay. Follow-up includes clinical assessments and imaging to evaluate safety and effectiveness. The total study duration extends until September 2026, with detailed evaluations to guide improved surgical management of kidney stones.

Comparison Between Two Methods for Renal Stone Treatment Mini Percutaneous Nephrolithotomy and Flexible Ureteroscopy With Suction Sheath