Comparing kidney stone surgery positions

Modified Supine vs Prone Position Percutaneous Nephrolithotripsy (PNL )in Management of Complex Renal Stones, A Randomized Comparative Study

Assiut University · NCT05379894

This study is testing whether a new way of positioning patients during kidney stone surgery can make the procedure safer and more comfortable compared to the traditional position.

Quick facts

Study typeObservational
Enrollment200 (estimated)
Ages18 Years to 70 Years
SexAll
SponsorAssiut University (other)
Locations1 site (Asyut, Assuit)
Trial IDNCT05379894 on ClinicalTrials.gov

What this trial studies

This observational study compares the efficacy and safety of percutaneous nephrolithotomy (PCNL) performed in the prone position versus a modified supine position for patients with complex renal stones. The study aims to evaluate the advantages of the modified supine position, which may offer better comfort and reduced impact on respiratory function compared to the traditional prone position. By analyzing outcomes from both positions, the research seeks to determine the optimal approach for managing complex kidney stones. Participants will be selected based on specific criteria related to the complexity and location of their kidney stones.

Who should consider this trial

Good fit: Ideal candidates include adults with complex renal stones who meet specific anatomical criteria for PCNL.

Not a fit: Patients with simple kidney stones or those in the pediatric age group may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could lead to improved surgical outcomes and patient comfort during kidney stone procedures.

How similar studies have performed: Previous studies have shown varying success with different surgical positions in kidney stone management, but this specific comparison is less commonly explored.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Inclusion criteria:
* Grade II - A solitary stone in the upper pole with simple anatomy or multiple stones in a patient with simple anatomy or any solitary stone in a patient with abnormal anatomy
* Grade III - Multiple stones in a patient with abnormal anatomy or, stones in a calyceal diverticulum or partial staghorn calculus
* Grade IV - Staghorn calculus or any stone in a patient with spina bifida or spinal injury.

Exclusion Criteria:

* · Pediatric group
* Grade I - A solitary stone in the mid/lower pole with simple anatomy or a solitary stone in the pelvis with simple anatomy

Where this trial is running

Asyut, Assuit

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.

View on ClinicalTrials.gov →

Conditions: Kidney Stone

Last reviewed 2026-05-15 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.