Dusting vs Fragmentation Laser Cystolithotripsy for Pediatric Bladder Stones

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This prospective randomized trial compares two Holmium:YAG laser approaches for transurethral cystolithotripsy in children with a single bladder stone under 3 cm. Participants are randomized to either laser dusting, aiming to pulverize the stone into fine debris, or laser fragmentation, aiming to create extractable fragments for removal. Primary endpoint is total operative time, with secondary outcomes including laser time, need for fragment extraction, stone-free status, imaging-confirmed stone-free follow-up, intraoperative complications, postoperative urinary symptoms and infections, catheterization need, and length of hospital stay. Procedures are performed under general anesthesia in a pediatric setting using standard endoscopic equipment. Conducted at the Department of Urology, Beni-Suef University Hospital, the trial enrolls children meeting specific radiologic and clinical criteria after obtaining parental consent.

Why it matters

Who can join: the full rules

Inclusion Criteria:

1. Children aged less than 18 years.
2. Radiologically confirmed single bladder stone less than 3 cm.
3. Suitable for transurethral cystolithotripsy.
4. Fit for general anesthesia.
5. Written informed consent from parents or legal guardians.

Exclusion Criteria:

1. Giant bladder stones more than 3 cm.
2. Urethral pathology preventing safe transurethral access.
3. Major lower urinary tract anomaly or neurogenic bladder.
4. Active untreated urinary tract infection.
5. Coagulation disorder or contraindication to endoscopic surgery.

Where it's running

• Department of Urology- Beni-Suef University Hospitals
  Banī Suwayf, Beni Suweif Governorate, Egypt Recruiting

Study contacts

• Principal investigator: Hany F Badawy, MD — Faculty of Medicine, Beni-Suef University hospital
• Study coordinator: Hany F Badawy, MD
• Email: Hanyfathy86@gmail.com
• Phone: +201149525028

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

• Vacuum-assisted Mini-percutaneous vs Transurethral Cystolithotripsy for Pediatric Bladder Stones

  This study tests whether a suction-assisted mini-percutaneous approach is as safe and effective as the standard transurethral method for removing bladder stones in children aged 2 to 14.

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• Comparing Two Ureteral Stent Designs in Children with Kidney Stones

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• Compare Trans-Stomal Bladder Lithotripsy Methods in Continent Catheterizable Urinary Reservoirs

  This study looks at different ways to break up bladder stones in people with continent catheterizable urinary diversions to see which method works best when the normal route isn’t available.

  Recruiting at 2 sites Hospices Civils de Lyon · Lyon and 1 other locations · NCT07643454

• Intravesical aminophylline to aid ureteroscopic access in children with distal ureteral stones

  This study tests whether putting aminophylline in the bladder helps some kids get a semi-rigid ureteroscope to pass into the ureter during treatment for distal ureteral stones.

  Recruiting Phase 2 Beni-Suef University · Banī Suwayf, Beni Suweif Governorate · NCT07617896

How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.