Clinical Trial Details
— Status: Completed
Administrative data
| NCT number |
NCT06338137 |
| Other study ID # |
4-2024urol |
| Secondary ID |
|
| Status |
Completed |
| Phase |
N/A
|
| First received |
|
| Last updated |
|
| Start date |
August 25, 2022 |
| Est. completion date |
January 1, 2024 |
Study information
| Verified date |
March 2024 |
| Source |
Menoufia University |
| Contact |
n/a |
| Is FDA regulated |
No |
| Health authority |
|
| Study type |
Interventional
|
Clinical Trial Summary
Rcompare high-energy versus low-energy laser settings in renal stone lithotripsy using low
power machines) Holmium YAG 30 watts, examining their respective advantages, limitations, and
overall efficacy.
Description:
The prevalence of urinary stone disease treatment has shown a continuous updating Within the
armamentarium of urinary stone management, the laser has emerged as a cornerstone for
lithotripsy in endourological procedures. The laser technology has witnessed a progressive
evolution, transitioning from the established holmium: yttrium-aluminum-garnet (Ho:YAG) laser
with pulse modulation to the advent of thulium fiber laser (TFL) and, more recently, the
innovative pulsed thulium:YAG (p-Tm:YAG) laser Laser lithotripsy is prefered for its
minimally invasive approach and high success rates in fragmenting stones, yet the ongoing
debate continues regarding the optimal laser power settings for this procedure. contemporary
approaches in laser lithotripsy focus on two primary strategies: fragmenting stones into
smaller retrievable parts or breaking them into minute fragments, commonly referred to as
'dust,' facilitating the natural passage of smaller particles The choice between high power
and low power settings in laser lithotripsy significantly influences treatment outcomes,
including stone fragmentation efficiency, procedural time, and potential tissue damage.
High-energy power laser settings offer rapid stone ablation capabilities, enabling quick
fragmentation but potentially raising concerns about thermal injury to surrounding tissues.
In contrast, low-energy power settings, while reducing the risk of tissue damage, might
prolong the procedure and necessitate additional maneuvers for complete stone clearance This
study aims to compare high-energy versus low-energy laser settings in renal stone lithotripsy
using low power machines) Holmium YAG 30 watts, examining their respective advantages,
limitations, and overall efficacy. By scrutinizing existing literature and recent studies,
this study intends to provide a 56 comprehensive understanding of the clinical implications
of choosing optimal laser settings in urolithiasis comprehensive understanding of the
clinical implications of choosing optimal laser settings in urolithiasis.
