Factors Affecting Complication Rates of Ureteroscopic Lithotripsy in Children: Results of Multi-Institutional Retrospective Analysis by Pediatric Stone Disease Study Group of Turkish Pediatric Urology Society

Doğan, Hasan Serkan; Önal, Bülent; Satar, Nihat; Aygün, Cem; Piskin, Mesut; Tanrıverdi, Orhan; Gürocak, Serhat; Günay, Murat; Burgu, Berk; Özden, Ender; Nazlı, Oktay; Erdem, Erim; Yücel, Selçuk; Kefi, Aykut; Demirci, Deniz; Uluocak, Nıhat; Aridogan, Ibrahim Atilla; Turunç, Tahsin; Yalçın, Veli; Kılınç, Mehmet; Horasanlı, Kaya; Tan, Mustafa; Soygür, Tarkan; Sarıkaya, Şaban; Kılıçarslan, Hakan; Turna, Burak; Doruk, Hasan Erdal; Tekgül, Serdar

doi:10.1016/j.juro.2011.04.097

Cited by 82 publications

(58 citation statements)

References 29 publications

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“…The stone free rate was 92.8%, and complications occurred in 8.4% of the cases (54 of 642), which were mostly low grade and self-limiting. Multivariate analysis showed that operation time was the only statistically significant parameter affecting the complication rate (25). These studies show us that laser lithotripsy is widely and successfully applied in the treatment of pediatric ureteral calculi with minimal morbidity.…”

Section: Discussionmentioning

confidence: 62%

“…(4) In this manner, SWL and URS are recommended as the first-line treatment modality in the EAU guidelines (26). Furthermore, although pediatric ureter is much more dynamic than its adult counterpart, which means that SWL should be applied before URS, there are a lot of centers which directly apply URS rather than SWL for pediatric ureteral stones (13,25). This brings up the fact that URS might become more and more popular in the treatment of pediatric ureteral stone disease, and may even be considered as the first-line treatment modality rather than SWL in the future.…”

Section: Introductionmentioning

confidence: 99%

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Laser or Pneumatic Lithotripsy in Pediatric Ureteral Stones: Which One is More Effective?

Gürocak

Onaran²,

Tan³

et al. 2015

GMJ

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Objective: The aim of this retrospective study was to compare the effectiveness of pneumatic and laser lithotripsy in the treatment of pediatric ureteral stones. Methods: Among 60 cases of ureteral stones with a complete clinical followup between 2008 and 2012, clinical variables of patients, localization and stone load before ureteroscopy, energy source of lithotripsy, complication rate and follow-up period were evaluated retrospectively. Indication for ureteroscopy was accepted as the failure of extracorporeal shockwave lithotripsy, clinically significant obstructive uropathy and acute symptomatic patients. Results: Thirty-six (60%) and 24 (40%) patients underwent the pneumatic and the laser lithotripsy, respectively. There was no statistically significant difference between the two groups preoperatively in terms of gender (p = 0.133), age (p = 0.211), stone size (p = 0.101), stone load (p = 0.850) and location (p = 0.301). After pneumatic and laser lithotripsy, 6 (16%) and 4 (16.7%) patients had clinically significant residual stones, respectively (p = 0.83). Residual stones were seen in the upper ureteral stones that migrated up during lithotripsy. Conclusion: Both of the lithotripsy methods were found to be equally effective in pediatric populations. On the other hand, lower complication rates obtained in laser lithotripsy incline us to use the laser lithotripsy because of its safety as an energy source.

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Section: Discussionmentioning

confidence: 62%

Section: Introductionmentioning

confidence: 99%

Laser or Pneumatic Lithotripsy in Pediatric Ureteral Stones: Which One is More Effective?

Gürocak

Onaran²,

Tan³

et al. 2015

GMJ

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“…According to EUA pediatric guidelines at the present time, while first-line treatment option in stones smaller than 1 cm is flexible URS, first-line treatment option in stones larger than 1.5 cm is PCNL (1,2). PCNL may present problems in infants and preschool-age children due to the small size and mobility of the pediatric kidney, friable renal parenchyma, and the small size of the collecting system.…”

Section: Discussionmentioning

confidence: 99%

Should Flexible Ureterorenoscopy be the First-line Treatment Option for Renal Calculi?

Türkyılmaz¹,

Sönmez²,

Karabulut³

et al. 2017

GMJ

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While first-line treatment option for pediatric renal calculi, 1.5-2 cm in size, was open surgery in the past, percutaneous nephrolithotomy (PNL) is now the first-line treatment option in accordance with EUA pediatric guidelines. However, mini rigid ureterorenoscopy (URS) and the laser props of flexible URS have started to be used in the removal of these calculi. The present study aimed at conveying our experience in using flexible URS and laser on the removal of right renal calculus, 16 mm in size, in a 1-year-old male pediatric patient.

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“…For these reasons, PNL is considered to be a safe method for protecting the renal tissue in the growth period. However, a prolonged duration of surgery for getting stone-free patients leads to an increased number of complications (14). The primary major complication of PNL technique is organ injury.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Percutaneous Nephrolithotomy Results in Pediatric Kidney Stone Disease in Patients Under the Age of 10 Years and in Patients Over the Age of 10 Years

Çelik¹,

Ediz²,

Çamtosun³

et al. 2016

JAREM

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INTRODUCTIONUrinary tract stones are seen at all ages, and its frequency is gradually increasing in our country. Some factors such as changes in dietary habits, diet rich in carbohydrates and salt, and increase in obesity have a role in the increased frequency of urinary tract stones in pediatric patients. Moreover, due to the sedentary lifestyles of children because of televisions and computers and with improving technology, better scanning and early-diagnosis alternatives have become more efficient (1). Metabolic and anatomic disorders are among the factors involved in the formation of stones in pediatric patients. At present, pediatric urinary tract stone is included in the urology practice more often because parents are more interested in diagnosis-treatment opportunities. Our main goal is to reach maximum stone-free rates in this age group through minimally invasive methods. Therefore, the importance of percutaneous nephrolithotomy (PNL) is increasing in light of technological developments. METHODSThis study included patients aged 16 years and below and who underwent PNL. The patients were divided into two groups: age 10 years and below and age 11-16 years. Routine hemogram, blood biochemistry, complete urine analysis, and urine culture were preoperatively evaluated. Patients with urinary tract infections underwent surgery following a sterile urine culture after antibiotherapy. The presence of urinary tract stone was preoperatively evaluated through direct urinary system radiography, urinary system ultrasonography, and intravenous pyelography (IVP). Considering the level of radiation, computed tomography was not planned unless absolutely necessary.The procedures of PNL were performed under general anesthesia. The bladders and urethral orifices of the patients were assessed in the supine position using 9-, 5-, 11-, or 13 Fr pediatric cystoscopes according to the age group. A 4-or 5 Fr urethral catheter was inserted with a C-arm fluoroscopy in the urethral orifice and fixed on a urethral Foley catheter. After this process, the patients were placed in a prone position, and the pelvicalyceal system was entered using a chiba needle with the guidance of fluoroscopy. The duration, amount, and number of radioactive dose were considered at minimal level during fluoroscopy. A lead material was placed on the testes or ovaries of the patients. Dilatation was provided up to 22 F via an Amplatz renal dilator set. Stones were broken with the help of a pediatric nephroscopy and pneumatic lithotripter. After the procedure, a nephrostomy (PNL) is a minimally invasive procedure that is safely performed for kidney stone surgery all over the world. In our clinic, PNL surgery was first performed in March 1998. In parallel with our increasing experience, PNL has been performed in pediatric cases. In our study, PNL operations performed in pediatric patients under the age of 10 years and in those over the age of 10 years were retrospectively investigated.Methods: Patients were between 0 and 16 years of age. They were divided into ...

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Factors Affecting Complication Rates of Ureteroscopic Lithotripsy in Children: Results of Multi-Institutional Retrospective Analysis by Pediatric Stone Disease Study Group of Turkish Pediatric Urology Society

Cited by 82 publications

References 29 publications

Laser or Pneumatic Lithotripsy in Pediatric Ureteral Stones: Which One is More Effective?

Laser or Pneumatic Lithotripsy in Pediatric Ureteral Stones: Which One is More Effective?

Should Flexible Ureterorenoscopy be the First-line Treatment Option for Renal Calculi?

Comparison of Percutaneous Nephrolithotomy Results in Pediatric Kidney Stone Disease in Patients Under the Age of 10 Years and in Patients Over the Age of 10 Years

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