Pediatric Ureteroscopic Management of Intrarenal Calculi

Tanaka, Stacy T.; Makari, John H.; Pope, John C.; Adams, Mark C.; Brock, John W.; Thomas, John C.

doi:10.1016/j.juro.2008.07.079

Cited by 78 publications

(54 citation statements)

References 20 publications

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“…In their series of 50 kidney stones in children with an age range of 1.2-13.6 years, Tanaka et al [32] achieved SFR with a single session in 58% and needed an additional procedure in 36% of the patients. They found that success rates were correlated with stone dimension, where need for additional procedure was correlated with both stone dimension and patient age.…”

Section: Rirs In Pediatric Patientsmentioning

confidence: 99%

Retrograde intrarenal surgery for renal stones - Part 2

Kılıç

Akand

2017

Turkish Journal of Urology

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Retrograde intrarenal surgery (RIRS) has become an effective and safe treatment modality in the management of urinary system stone disease. Recent developments and innovations in the flexible ureterorenoscope and auxiliary equipment have made this procedure easier and more effective with increased success rates. RIRS can be used as a primary treatment in patients with renal stones smaller than 2 cm, prior unsuccessful shock wave lithotripsy, infundibular stenosis, renoureteral malformation, skeletal-muscular deformity, bleeding diathesis and obese patients. In the second part of this detailed review for RIRS, effect of stone composition on success rate, preoperative assessment of stone-free rate, the cost of this modality, education for RIRS, fluoroscopy use, the current role of RIRS in the treatment of various urolithiasis types and special conditions, and combined treatment methods are discussed with up-to-date literature.

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Section: Rirs In Pediatric Patientsmentioning

confidence: 99%

Retrograde intrarenal surgery for renal stones - Part 2

Kılıç

Akand

2017

Turkish Journal of Urology

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“…However, no correlation was reported in that study between the complications that developed and use of ureteral access sheath or ureteral dilation. In a study from 2008, Tanaka et al [26] published the results from 50 pediatric patients with a mean age of 7.9 (1.2-13.6 years) and receiving RIRS due to renal stone. Mean stone size was 8 mm (1-16) mm; 58% of cases remained stone-free at long-term follow-up with a single procedure, while an additional procedure was required in 36%.…”

Section: Childrenmentioning

confidence: 99%

Retrograde intrarenal surgery in pediatric patients

Reşorlu

Sancak

Reşorlu

et al. 2014

WJN

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Urinary tract stone disease is seen at a level of 1%-2% in childhood (< 18 years). In recent years, however, there has been a marked increased in pediatric stone disease, particularly in adolescence. A carbohydrateand salt-heavy diet and a more sedentary lifestyle are implicated in this increase. Although stone disease is rare in childhood, its presence is frequently associated with metabolic or anatomical disorders or infectious conditions, for which reason there is a high possibility of post-therapeutic recurrence. Factors such as a high possibility of recurrence and increasing incidence further enhance the importance of minimally invasive therapeutic options in children, with their expectations of a long life. In children in whom active stone removal is decided on, the way to achieve the highest level of success with the least morbidity is to select the most appropriate treatment modality. Thanks to today's advanced technology, renal stones that were once treated only by surgery can now be treated with minimally invasive techniques, from invasion of the urinary system in an antegrade (percutaneous nephrolithotomy) or retrograde (retrograde intrarenal surgery) manner or shock wave lithotripsy to laparoscopic stone surgery. This compilation study examined studies involving the RIRS procedure, the latest minimally invasive technique, in children and compared the results of those studies with those from other techniques.

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“…However, PCNL is typically reserved for larger stone burden and treatment failures of SWL and/or RIRS because of its more invasive nature. Although stone-free rates are greater than 85% after a single PCNL in children, complications including urosepsis, bleeding requiring transfusion, renal pelvis perforation, and injury to adjacent organs are not uncommon [3,4,[10][11][12]. The morbidity associated with RIRS is considerably less than that with PCNL, and the flexible ureteroscope allows access to the polar regions.…”

Section: Discussionmentioning

confidence: 99%

“…With increasing experience of RIRS in adults, recently, a few reports of successful ureterorenoscopic management of renal stones in children have been published [1][2][3]. However, most of those reports include a significant number of older adolescents.To our knowledge, no prior study has specifically addressed the efficacy of retrograde endoscopic management of intrarenal calculi in the preschool-age children.…”

mentioning

confidence: 99%