Supine vs. Prone Mini-Percutaneous Nephrolithotomy in Children
Official title: Supine Versus Prone Mini Percutaneous Nephrolithotripsy for Renal Stone Less Than 3 cm in Children Less Than 15 Years Old: A Prospective Randomized Trial
Run by Fayoum University Hospital · NCT07887945 · Data updated 2026-11-12
This trial tests whether the supine position is as safe and effective as the traditional prone position for removing a single kidney stone in children under 15 using mini-PCNL.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 6 Months to 15 Years |
| Sex | All |
| Enrollment | 50 (estimated) |
| Sponsor | Fayoum University Hospital Academic / other |
| Drugs / interventions | radiation |
| Locations | 1 site (Al Fayyum, Keman Fares) |
| Status | Recruiting |
| Started | October 5, 2026 |
| Main results expected | August 1, 2027 |
| Study ends | August 15, 2027 |
| Registry record updated | October 22, 2026 |
| Trial ID | NCT07887945 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Children under 15 with a single renal pelvis or mid/lower calyceal stone measuring 10–30 mm and no congenital renal anomalies or active infection.
✕Probably not a fit
Children with larger, complex, or multiple stones, congenital renal anomalies, or active infection may not benefit from this comparison.
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 supine and prone mini-percutaneous nephrolithotomy (Mini-PCNL) in pediatric patients under 15 with a single renal stone 10–30 mm. The study evaluates safety, stone-free rates, total operative time, and complication rates between the two positions. Eligible children undergo standardized imaging to confirm stone size and location, and outcomes are analyzed to determine if the supine approach offers practical or clinical advantages. The trial is sponsored by Fayoum University Hospital with a focus on improving pediatric stone management.
Why it matters
Potential benefit: If successful, the supine approach could simplify positioning, shorten surgery time, and potentially reduce airway and ergonomic challenges for surgeons during pediatric Mini-PCNL.
How similar studies have gone: Prior research suggests supine PCNL can have similar stone-free rates with shorter operative times in adults; pediatric data are less extensive, making this study novel in its specific scope.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Children under 15 years old (both sexes). * Diagnosed with a single renal pelvis stone, or middle/lower calyceal stone. * Stone size ranging from 10 mm up to 30 mm (measured via non-contrast CT). Exclusion Criteria: * Congenital renal anomalies (e.g., horseshoe kidney, ectopic pelvic kidney, crossed fused ectopia, UPJ obstruction, or ureteric stricture). * Staghorn stones or upper calyceal stones. * Active urinary tract infection (UTI). * Bleeding disorders or uncorrected coagulopathy.
Where it's running
-
Mohamed Mahmoud Dogha
Al Fayyum, Keman Fares, Egypt Recruiting
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.