Kidney stones can be extremely painful and may require medical attention for removal. Percutaneous nephrolithotomy is a common procedure done for large renal stones that cannot be removed by medication. However, achieving complete stone clearance can be difficult in large and complex stones.
A clinical study has compared the effectiveness of two common techniques for kidney stone removal i.e. Endoscopic Combined Intrarenal Surgery (ECIRS) and Percutaneous Nephrolithotomy (PCNL).
Kidney stones are a common condition that affects millions of people worldwide. While small stones can be passed naturally, larger and more complex stones may require medical intervention. Two commonly employed procedures for treating large and complex renal stones are ECIRS and PCNL.
PCNL is a minimally invasive procedure to remove kidney stones. It involves making a small incision in the flank region through which a camera and working element are passed into the kidney to fragment and remove renal stones.
ECIRS involves two procedures: a PCNL and a retrograde intrarenal surgery where a scope is passed via the urethra up to the kidney and the stones are fragmented.
Clinical StudyThis clinical study, published in the Journal of Endourology, has compared the effectiveness of these two procedures in treating kidney stones.
The study analyzed data from multiple clinical trials involving a number of patients with large and complex renal stones. These patients underwent either ECIRS or PCNL. The stone-free rate was measured as the primary outcome while average operating time, hemoglobin drop, and complication rate were the secondary outcomes.