Flexible Ureteroscopy for Upper Ureteral Calculi in Children

Abstract

Complete stone clearance after single ureteroscopy is possible if the calculi are single, small (<10 mm), and below the level of the pelviureteral junction.

Ureteroscopy for stone disease in the paediatric population: a systematic review

“…), published during the period of January 1990 to May 2013, were found to fit the inclusion criteria. In total, 1718 procedures were carried out, with a range of 50–660 procedures per study (Tables , ). The mean (range) age of the reported populations was 7.8 (0.25–18.0) years and the populations included 768 boys and 727 girls.…”

Management of Biliary and Pancreatic Diseases Using a New Intraductal Endoscope

“…Although the flexible Polyscope system has been widely used at a growing number of urologic centers for the management Basket extraction or complete stone fragmentation Via common bile duct (9) Hepatolithiasis and choledocholithiasis (5) Basket extraction or complete stone fragmentation Benign strictures of the intrahepatic duct (1) Stenting Benign strictures of duodenal papilla (2) Stenting Tumor of the distal common bile duct (1) Tissue ablation Peroral (11) Hepatolithiasis (6) Basket extraction or complete stone fragmentation Pancreatic duct stone (1) Basket extraction or complete stone fragmentation Chronic pancreatitis and pancreatic duct dilatation (1)…”

“…of renal or urinary calculi, [9][10][11] its use for management of bile duct stones, stricture, and tumor has rarely been reported. 8 In this study, we further evaluated the new generation of Polyscope, with an outer diameter of 8 Fr (2.67 mm), a working channel of 3.6 Fr (1.2 mm), and a tip deflection of 270°for diagnosis and treatment of biliary and pancreatic diseases.…”

Minimally invasive approach in pediatric urolithiasis

“…Bu yöntemde fleksible (bükülebilir) URS ile üretra-dan girilerek böbreğin her noktasına ulaşılıp lazerle taş kırılmaktadır (21,41) . Hastanede kalış süresi kısa ve skopi süresi azdır.…”

“…Hastanede kalış süresi kısa ve skopi süresi azdır. Proksimal üreter, toplayıcı sistem ve özellikle alt pol taşlarında en etkili yöntem-dir (41) . SWL başarısının düşük olduğu alt pol taşları, SWL'nin başarısız olduğu 15 mm'den küçük böbrek taşlarında ve rekürren sistin taşlarında RİRC uygundur.…”