Ureteroscopy in Children-A Single Centre Study from a Developing Country

Abstract

Purpose: To determine efficacy and safety of initial experience of ureter stone management by ureteroscopy in pediatric patients in a single center in a developing country. As pediatric urology is lacking in expertise in such countries so the aim of study was to share outcomes in the initial experience with pediatric ureteroscopy in northern side of Pakistan. Methods: Retrospective analysis of the data was done in pediatric patients who underwent ureteroscopic intervention for ureter stone management at shifa international hospital from 2011 till 2018.Data regarding mean ureteric stone location, stone size, success rates and complications was collected by urology residents and recorded on specified proforma. Data was analyzed on SPSS version 16. Results: Total of 67 children were followed after ureteroscopic procedure for ureter stone treatment. Their mean age was 8.51 ±4.73 years. Male children comprised majority of patients in our study. Mean stone size was 10.03 ±5.97 mm. Mean procedure time was 54.12 ±13.91 minutes. Overall stone free rate after attempting first URS procedure was seen in 61/67 of patients (91.01%) in this study. Urosepsis was seen in 5.4% children. Rests of complications were of minor grades. Conclusion: Ureteroscopy can be effectively and safely adopted in new centers of pediatric endourology with minimal morbidity and satisfactory success rates.