Semi-rigid ureterorenoscopy in children without ureteral dilatation

Gedik, Abdullah; Örgen, Seyfettin; Akay, Ali; Şahın, Hayrettin; Bircan, Mehmet Kamuran

doi:10.1007/s11255-007-9235-5

Cited by 17 publications

(8 citation statements)

References 17 publications

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“…Overall, 2944 procedures were performed with a mean caseload of 87 procedures per study (range 25–660). There were 13 and 20 studies in the medium-volume [ 6 – 9 , 12 , 13 , 16 , 17 , 20 , 31 , 33 ••, 35 , 36 ] and high-volume [ 4 , 5 , 10 , 11 , 14 , 15 , 18 , 19 , 21 – 24 , 25 •, 26 – 30 , 32 , 34 ] groups respectively. Given the paediatric data from the CROES database that was gathered from over 50 centres, it was excluded from this subclassification although the data was used for the overall results [ 37 ].…”

Section: Resultsmentioning

confidence: 99%

Ureteroscopy for Stone Disease in Paediatric Population is Safe and Effective in Medium-Volume and High-Volume Centres: Evidence from a Systematic Review

et al. 2017

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Purpose of ReviewThe incidence of urinary stone disease among the paediatric population is increasing. Whilst there has been a rise in the number of original studies published on ureteroscopy (URS) in children, critical review still remains under-reported.Recent FindingsA Cochrane style systematic review was performed to identify all original articles on URS (minimum of 25 cases) for stone disease in paediatric patients between Jan. 1996 and Dec. 2016. Based on the number of reported cases, centres were divided into medium (25–49 cases) and high (≥ 50 cases) volume studies.Thirty-four studies (2758 children) satisfied our search criteria and were included in this review. The mean stone size was 8.6 mm with an overall stone-free rate (SFR) of 90.4% (range 58–100). Medium-volume centres reported a mean SFR of 94.1% (range 87.5–100), whilst high-volume centres reported a mean SFR of 88.1% (range 58–98.5). Mean number of sessions to achieve stone-free status in medium-volume and high-volume groups was 1.1 and 1.2 procedures/patient respectively. The overall complication rate was 11.1% (327/2994). Breakdown by Clavien grade was as follows: Clavien I 69% and Clavien II/III 31%. There were no Clavien IV/V complications, and no mortality was recorded across any of the studies. The overall failure to access rate was 2.5% (76/2944).Medium-volume and high-volume studies had overall complication rates of 6.9% (37/530) and 12.1% (287/2222) respectively, but there was no significant difference in major or minor complications between these two groups.SummaryUreteroscopy is a safe and effective treatment for paediatric stone disease. Medium-volume centres can achieve equally high SFRs and safety profiles as high-volume centres. Despite the rarity of paediatric stone disease, our findings might increase the uptake of paediatric URS procedures.

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Section: Resultsmentioning

confidence: 99%

Ureteroscopy for Stone Disease in Paediatric Population is Safe and Effective in Medium-Volume and High-Volume Centres: Evidence from a Systematic Review

et al. 2017

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“…[24,25] Biz hiçbir hastamız-da angajman sırasında dilatasyona gerek duymadık. Aksine bazı olgularımızda kılavuz tel olmadan bile angajman sağlayabildik.…”

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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“…Although the widespread use of active or passive ureteral dilatation was preferred in the first years of URS, recent studies have shown that routine ureteral dilatation is not necessary (15,17,18). Hence, routine ureteral dilatation was not conducted in the present study.…”

Section: Discussionmentioning

confidence: 94%

Effectiveness of Holmium Laser Therapy Together with 7Fr Ureterorenoscopy in Preschool Children

Yücel¹,

Çift²,

Benlioğlu³

2018

Med J Islamic World Acad Sci

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This study aimed to evaluate the success of semi-rigid (7-Fr) ureterorenoscope in treating ureteral stones in preschool children (aged 0-6 years). A total of 36 patients who underwent endoscopic ureteral stone treatment in the clinic were retrospectively evaluated between January 2012 and February 2018. During the procedure, a 7-Fr semi-rigid ureterorenoscope holmium: YAG laser as lithotripter were used. The stone-free rates of the patients were evaluated visually during fragmentation and 1 month later using urinary ultrasonography. The mean age of the patients was 37.5 months; 55.6% were male, and 44.4% were female. Stone localization was 58.3% in the distal ureter, 16.7% in the middle ureter, and 25% in the proximal ureter. After the first ureterorenoscopy procedure, the stone-free rate was 58.3%. During the first ureterorenoscopy procedure, 38.9% patients were admitted with a double J stent, which could not reach intraoperative stones. After 1 month, second-session ureterorenoscopy was performed. During the first ureterorenoscopy procedure, ureteral perforation developed in 2.8% of the patients. Ureterolithotomy was performed with open surgery. After the first and second ureterorenoscopy procedures, the stone-free rate was 97.2%. Slight bleeding in two patients and high fever (>38.5°C) in four patients was observed in the early postoperative period. The mean hospital stay was 2.3 days. Endoscopic ureteral stone treatment with 7-Fr ureterorenoscopy can be safely performed with high success and low complication rates even in very young children.

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Semi-rigid ureterorenoscopy in children without ureteral dilatation

Abstract: Ureterorenoscopy can be successfully and safely applied without the need for ureteral dilatation in ureteral pathologies of children.

Cited by 17 publications

References 17 publications

Ureteroscopy for Stone Disease in Paediatric Population is Safe and Effective in Medium-Volume and High-Volume Centres: Evidence from a Systematic Review

Ureteroscopy for Stone Disease in Paediatric Population is Safe and Effective in Medium-Volume and High-Volume Centres: Evidence from a Systematic Review

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 Holmium Laser Therapy Together with 7Fr Ureterorenoscopy in Preschool Children

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