Abstract
Purpose: We report our experience with ureteroscopy to treat lower-pole calculi in children. Patients and Methods: A retrospective review was conducted of all ureteroscopic procedures for lower-pole stone disease at a pediatric institution from 2000 through 2005. A total of 13 girls and 8 boys with a mean age of 15 years (range 1-20 years) underwent flexible ureteroscopy for lower-pole calculi. The mean stone burden was 12 mm. Stone-free status was defined by postoperative abdominal radiography, CT, or ultrasonography. Results: Ureteral stenting was performed preoperatively in 38% and postoperatively in 71% of the patients. Ureteral-access sheaths were placed in 43%. There were no intraoperative or postoperative complications. With a mean follow-up of 11 months, 76% of the children were stone-free. The success rate for stones <15 mm was 93% v 33% for stones ≥15 mm (P = 0.01). Conclusion: Ureteroscopy and laser lithotripsy are safe and effective in children with lower-pole calculi. Ureteroscopy can be considered a primary treatment option for children with lower-pole calculi <15 mm.
Original language | English |
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Pages (from-to) | 1179-1182 |
Number of pages | 4 |
Journal | Journal of Endourology |
Volume | 21 |
Issue number | 10 |
DOIs | |
State | Published - Oct 1 2007 |
Keywords
- Adolescent
- Adult
- Child
- Child, Preschool
- Female
- Humans
- Infant
- Kidney Calculi/diagnostic imaging
- Male
- Retrospective Studies
- Stents
- Tomography, X-Ray Computed
- Treatment Outcome
- Ultrasonography
- Ureteroscopy/adverse effects