Etiological and Clinical Patterns of Urolithiasis in Turkish Children

Öner, Ayşe; Demircin, Gülay; Ipekçioğlu, Harika; Bülbül, Mehmet; Ecin, N

doi:10.1159/000474506

Cited by 46 publications

(87 citation statements)

References 7 publications

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“…Ülkemizde de yaygın bir hastalık olup prevelansı %15 olarak bildirilmiştir. [8,9] Doğu ve Güneydoğu Anadolu gibi iklimin sıcak olduğu bölgelerde bu prevelans daha da yüksektir. [9] Türkiye'nin de içinde bulunduğu Ortadoğu gibi dünyanın bazı bölgelerinde taş hastalığı endemik bir problemdir.…”

Section: Discussionunclassified

Effectiveness of 4.5 F semirigid ureteroscope (Mini-URS) in the management of ureteral stones in children younger than 3 years of age

Sancaktutar¹,

Atar²,

Söylemez³

et al. 2011

Turkish Journal of Urology

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Section: Discussionunclassified

Effectiveness of 4.5 F semirigid ureteroscope (Mini-URS) in the management of ureteral stones in children younger than 3 years of age

Sancaktutar¹,

Atar²,

Söylemez³

et al. 2011

Turkish Journal of Urology

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“…It has been applied as the first-line therapy in the management of renal stones bigger than 2 cm. In the literature success rates ranging between 71 and 90 % were reported for the first percutaneous lithotripsy series, however in our country success rates varying between 68, and 77 % were reported for first series of PNL [5,6]. In current series higher success rates have been achieved thanks to accumulating experience.…”

Section: Discussionmentioning

confidence: 54%

“…Our country is in the endemic zone for stone disease with an incidence rate of 15 percent [5,6]. Especially in Southeastern and Eastern Anatolia Regions, incidence rates further increase due to climatic conditions and nutritional habits [6].…”

Section: Introductionmentioning

confidence: 99%

Applicability of percutaneous nephrolithotomy operation in a county State Hospital

Yıldırım¹,

Altin²

2018

Med-Science

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To evaluate percutaneous nephrolithotomy (PNL) operation, which is widely used and successfully performed in current practice, its applicability in district hospitals and to present the results of our operations. Between March 2014-2016, 32 PNL operations, which were performed in Urology Clinic of the Silvan County State Hospital, were retrospectively evaluated. All patients were assessed by routine urine tests, serum biochemical and coagulation tests, ultrasonography and computerized tomography. All operations were done by the same surgeon and performed at prone position under epidural or general anesthesia. Age, sex, stone size, laterality, operative time, fluoroscopy time, complications, stone-free rate were recorded. The sample included 17 women and 15 men with a mean age of 24.6 (11-42), and the mean stone size was 3.05 (2-5) cm. 29 patients had kidney stone (16 left-13 right) and 3 patients had proximal ureteral calculi. Incomplete duplex system was present in 6 patients. The total success rate was 93.75%. The mean operative time was 56 (28-120) minutes and mean hospitalization time was 2.6 (2-4) days. The operation failed in two patients. Blood transfusion was performed in 1 case (3.1 %). 4 patients who had postoperative hematuria were managed conservatively. However, none of the patients had intraabdominal organ injuries or required open surgery. PNL, which has become the gold standard in the treatment of large kidney stones, may be applied with similar success and complication rates of the literature, despite some difficulties arising from limited facilities in peripheral state hospitals.

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“…Five cases have been reported from Turkey. [2][3][4][5] The reported incidence rates of xanthine stones were 0.1, and 12% in Armenia (Arikyants, and Sarkissian), and Kuwait, respectively. which reveals that in countries where consaguineous marriages are more frequently encountered together with ethnic, and geographic differences, prevalence of xanthine stones increases.…”

Section: Discussionmentioning

confidence: 99%

Classical xanthinuria: a rare cause of pediatric urolithiasis

Akıncı

Çakıl

Öner³

2013

Turkish Journal of Urology

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Xanthine dehydrogenase catalyzes the oxidation of hypoxanthine to xanthine and xanthine to uric acid in the final two steps of the purine degradation process. Xanthine oxidase deficiency is an uncommon cause of pediatric urinary stone formation, and classical xanthinuria. A ten-month-old boy presented with a sevenmonth history of nausea, vomiting, discomfort during urination, gross hematuria and passage of stones. His renal and liver function test results and electrolytes were within normal limits, but serum and urine uric acid levels were undetectable. Ultrasonographic evaluation of the urinary tract revealed the presence of multiple bilateral renal stones. Renal stones were analyzed using an X-ray diffractometer, and were found to be composed of hypoxanthine-xanthine. High fluid intake, alkalinization and a low-purine diet were prescribed, and extracorporeal shock wave lithotripsy was performed. Recurrent renal stone formation was not observed during 18 months of follow-up. This case is reported to highlight the nature of this rare condition.

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Etiological and Clinical Patterns of Urolithiasis in Turkish Children

Cited by 46 publications

References 7 publications

Effectiveness of 4.5 F semirigid ureteroscope (Mini-URS) in the management of ureteral stones in children younger than 3 years of age

Effectiveness of 4.5 F semirigid ureteroscope (Mini-URS) in the management of ureteral stones in children younger than 3 years of age

Applicability of percutaneous nephrolithotomy operation in a county State Hospital

Classical xanthinuria: a rare cause of pediatric urolithiasis

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