Treatment of upper urinary tract stones with flexible ureteroscopy in children

Xiao, Jing; Wang, Xiangyu; Li, Jun; Wang, Miaomiao; Han, Tiandong; Zhang, Caixiang; Du, Yi; Hao, Gangyue; Tian, Ye

doi:10.5489/cuaj.5283

Cited by 7 publications

(8 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This study demonstrates the safety of performing URS for renal stone disease across all paediatric age groups with our SFR comparable with previously published data [5][6][7][8][9][10][11][12][13] and an overall post-operative complication rate of 7% across all age groups. All the ureteric injuries (1.6%) were of grade 1 classification and were managed conservatively with stent insertion.…”

Section: Discussionsupporting

confidence: 89%

See 1 more Smart Citation

Outcomes of ureteroscopy for management of stone disease in early and late childhood over a 15-year period

Mani

Pietropaolo

Madarriaga

et al. 2022

Therapeutic Advances in Urology

View full text Add to dashboard Cite

Background: Although paediatric ureteroscopy is widely performed, there is still a lack of data and outcomes in early childhood. In this two-centre study, we compared the outcomes of ureteroscopy for stone disease management in early and late childhood and provide outcomes for the same. Methods: Data was retrospectively collected on consecutive patients from two tertiary paediatric endo-urology European centres over a 15-year period (2006–2021). Patients were split into two groups, namely, early childhood (age ⩽ 9 years) and late childhood (age 9 to ⩽16 years). Outcomes including stone-free rate (SFR) and complications were compared between these two groups. Results: A total of 148 patients underwent 184 procedures (1.2 procedure/patient) during the study period (66 in early childhood and 82 in late childhood). The mean age in early and late childhood groups were 5.6 and 13.3 years, and a male: female ratio of 1.6:1 and 1.1:1, respectively. The SFR and complications in early and late childhood groups were 87.8% and 90.2% ( p = 0.64) and 5.7% and 4.1%, respectively. Conclusion: Paediatric ureteroscopy and laser stone fragmentation achieves good results in both early and late childhood with comparable SFRs, although the complications and need for second procedure were marginally higher in the early childhood group. Our study would set up a new benchmark for patient counselling in future, and perhaps this needs to be reflected in the paediatric urolithiasis guidelines.

show abstract

Section: Discussionsupporting

confidence: 89%

“…Other series and systematic reviews have also commonly commented on CD complication of ⩽ 3 for paediatric URSL. 12 – 17 …”

Section: Discussionmentioning

confidence: 99%

Outcomes of ureteroscopy for management of stone disease in early and late childhood over a 15-year period

Mani

Pietropaolo

Madarriaga

et al. 2022

Therapeutic Advances in Urology

View full text Add to dashboard Cite

show abstract

“…RIRS is recommended to treat upper ureteric and renal stones ≤ 2cm ( 81 ), while FLURS allows better treatment and access to lower pole urolithiasis due to its greater flexibility, maneuverability, and secondary deflection capability, and wide range of deflection ( 82 ). Li et al ( 83 ) performed the RIRS in 55 infants with upper ureteric and renal stones and found that the SFR was up to 94.6% without serious complications associated with this technique.…”

Section: Literature Searchmentioning

confidence: 99%

Minimally invasive surgery for pediatric renal and ureteric stones: A therapeutic update

Tao

Hongcai

et al. 2022

Front. Pediatr.

View full text Add to dashboard Cite

The incidence of pediatric urolithiasis (PU) is growing worldwide. The corresponding therapeutic methods have become a research hot spot in pediatric urology. PU has the characteristics of abnormal metabolism, easy recurrence, and immature urinary system development, which make its treatment different from that of adults. Pediatric urologists should select the optimal treatment modality to completely remove the stones to prevent recurrence. Currently, the curative treatments of PU include extracorporeal shock wave lithotripsy (ESWL), ureteroscopy, retrograde intrarenal surgery, percutaneous nephrolithotomy (PCNL), laparoscopic, robot-assisted laparoscopic, and open surgery. This review aims to conduct a therapeutic update on the surgical interventions of both pediatric renal and ureteric stones. It accentuates that pediatric surgeons or urologists should bear in mind the pros and cons of various minimally invasive surgical treatments under different conditions. In the future, the treatment of PU will be more refined due to the advancement of technology and the development of surgical instruments. However, a comprehensive understanding of the affected factors should be taken into account by pediatric urologists to select the most beneficial treatment plan for individual children to achieve precise treatment.

show abstract

“…8 (12), 946-951 947 Introduction:-Upper urinary tract stones,a global common disease, are one of the most common diseases of the urinary diseases. Epidemiological investigations in Europe and the United States showed that the prevalence of upper urinary tract stones was as high as about 10% [1,2]. Epidemiological studies in China indicated that the incidence of urinary tract stones has increased by 40%in the past 20 years [3,4].However, the treatment methods have been rapidly changed fromtraditional open surgery to minimally invasive surgery (MIS) due to surgeons efforts.…”

Section: Issn: 2320-5407mentioning

confidence: 99%

Establishing and Evaluating the Artificial Neural Network Model for the Prediction of Urinary Tract Infection After Upper Urinary Calculi Surgery

Chen¹,

He²,

Ke³

et al. 2020

IJAR

View full text Add to dashboard Cite

Objective:To establish and evaluate the artificial neural network (ANN) model for the prediction of urinary tract infection after upper urinary calculi surgery. Methods: A total of 350 patients with upper urinary tract stones were collected and divided into training group (n=280) and test group (n=70) according to the proportion of 4:1.The logistic regression (LR) model wasused to screen the data by multivariate analysis. Factors with statistically significant would be screened out to establish the LR model and artificial neural network (ANN) model.Receivers operation curve (ROC) was used to evaluate the predictive effect of the model. Results: A total of 29 cases (10.36%) developed postoperative urinary tract infections. Further analysis by logistic regression revealed that the following indicators were independent risk factors for urinary tract infection after upper urinary calculi surgery: infectious stones (OR=3.58, 95%CI=2.04-4.87 p<0.001), operation time (OR=1.51, 95%CI=1.11-2.06 p=0.01), preoperative urine white blood cells and nitrite are both positive (uWBC+NIT+) (OR=1.97, 95%CI=1.55-2.76 p=0.005) , female patients (OR=1.55, 95%CI=1.03-2.35 p=0.04), preoperative positive urine culture (OR=1.33, 95%CI=1.20-1.73 p=0.03) and calculus with polyp encapsulation(OR=1.11, 95%CI=1.05-1.21 p=0.03). Furthermore, we have successfully established the ANN model for the predicting of urinary tract infection after upper urinary calculi surgery. When compared ANN model to LR model for the accurate of prediction by 70 patients in the test group, the accurateof prediction were 78.92% (LR) and 88.69% (ANN), respectively. Moreover, the area under the ROC curve (AUC) of ANN model was greater than the LR model (0.93Â±0.02vs0.74Â±0.05, p<0.01). Conclusion: The established ANN model owned highly effectiveness and accuracy in the predicting of urinary tract infection after upper urinary calculi surgery.

show abstract

Treatment of upper urinary tract stones with flexible ureteroscopy in children

Abstract: FURS and holmium laser lithotripsy is effective and safe in treating children with upper urinary tract stones.

Cited by 7 publications

References 31 publications

Outcomes of ureteroscopy for management of stone disease in early and late childhood over a 15-year period

Outcomes of ureteroscopy for management of stone disease in early and late childhood over a 15-year period

Minimally invasive surgery for pediatric renal and ureteric stones: A therapeutic update

Establishing and Evaluating the Artificial Neural Network Model for the Prediction of Urinary Tract Infection After Upper Urinary Calculi Surgery

Contact Info

Product

Resources

About