Ureteroscopic management of lower-pole stones in a pediatric population

Glenn M. Cannon, Marc C. Smaldone, Hsi Yang Wu, Jeffrey C. Bassett, Mark F. Bellinger, Steven G. Docimo, Francis X. Schneck

Research output: Contribution to journalArticlepeer-review

86 Scopus citations

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 languageEnglish
Pages (from-to)1179-1182
Number of pages4
JournalJournal of Endourology
Volume21
Issue number10
DOIs
StatePublished - 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

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