Pediatric Percutaneous Nephrolithotomy: Assessing Impact of Technical Innovations on Safety and Efficacy

Desai, Mihir; Ridhorkar, Vasudeo; Patel, S.; Bapat, Sharad; Desai, Mahesh

doi:10.1089/end.1999.13.359

Cited by 80 publications

(38 citation statements)

References 15 publications

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“…5). 10,11 The combination of mini-perc with modified lithotripsy devices has several advantages. Although the tract size (Table 2) had no bearing on the hemoglobin drop in our study, selecting the tract size according to the width of the infundibulum and its angle of entry into the renal pelvis helps in preventing the overdilatation of the infudibulum (see Fig.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous Nephrolithotomy for Complex Caliceal Calculi and Staghorn Stones in Children Less than 5 Years of Age

Manohar

Ganpule

Shrivastav

et al. 2006

Journal of Endourology

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Section: Discussionmentioning

confidence: 99%

Percutaneous Nephrolithotomy for Complex Caliceal Calculi and Staghorn Stones in Children Less than 5 Years of Age

Manohar

Ganpule

Shrivastav

et al. 2006

Journal of Endourology

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“…In addition, no deterioration in renal function was reported after either single-or multiple-tract PNL [60]. Ultrasound-guided peripheral caliceal puncture and limiting the tract dilatation seem to be important factors in reducing the blood loss [60,61]. Laser and ultrasound probes are used for stone disintegration.…”

Section: Percutaneous Nephrolithotomymentioning

confidence: 99%

Cystinuria in childhood and adolescence: recommendations for diagnosis, treatment, and follow-up

et al. 2004

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Cystinuria, an autosomal-recessive disorder of a renal tubular amino acid transporter, is the cause of about 10% of all kidney stones observed in children. Different genetic characteristics are not represented by different phenotypes. The stones are formed of cystine, which is relatively insoluble at the physiological pH of urine. Without any preventive measures, the patients will suffer from recurrent stone formation throughout their life. Even with medical management, long-term outcome is poor due to insufficient efficacy and low patient compliance. Many patients suffer from renal insufficiency as a result of recurrent stone formation and repeated interventions. However, regular follow-up and optimal pharmacotherapy significantly increase stone-free intervals. Medical management is mainly based on hyperhydration and urine alkalinization. Sulfhydryl agents such as tiopronin can be added. Recurrent stone formation necessitates repeated urological interventions. These mostly minimally invasive procedures carry the risk of impairment of renal function. In adults, extracorporeal shockwave lithotripsy (SWL) as well as intracorporeal lithotripsy is often unsuccessful. However, in children SWL shows excellent results for cystine stones. In cases with large stone burden, percutaneous nephrolithotripsy (PNL) or even open surgical nephrolithotomy are preferred. This review discusses the underlying pathogenetic mechanisms and provides guidance for the diagnosis, therapy, and management of cystinuria following the recommendations of the International Cystinuria Consortium and the European Association of Urology.

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“…ESWL [1] and percutaneous nephrolithotomy [2,3] have changed the approach to renal stones. These two minimally invasive techniques, often applied together, are the treatment of choice, even in complete staghorn calculi of the kidney.…”

Section: Introductionmentioning

confidence: 99%

Clinical experience with a new ultrasonic and LithoClast combination for percutaneous litholapaxy

et al. 2002

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Pediatric Percutaneous Nephrolithotomy: Assessing Impact of Technical Innovations on Safety and Efficacy

Abstract: We believe that our alterations in the standard technique of PCNL with the use of pediatric instruments can make it a safe and effective option in the modern management of pediatric urolithiasis.

Cited by 80 publications

References 15 publications

Percutaneous Nephrolithotomy for Complex Caliceal Calculi and Staghorn Stones in Children Less than 5 Years of Age

Percutaneous Nephrolithotomy for Complex Caliceal Calculi and Staghorn Stones in Children Less than 5 Years of Age

Cystinuria in childhood and adolescence: recommendations for diagnosis, treatment, and follow-up

Clinical experience with a new ultrasonic and LithoClast combination for percutaneous litholapaxy

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