Safety And Efficacy Of Retrograde Intrarenal Surgery In Pediatric Stone Disease

Authors : Bülent ALTAY

Pages : 4-7

View : 5 | Download : 4

Publication Date : 2018-08-13

Article Type : Research Paper

Abstract :Introduction: Percutaneous nephrolitotomy insert ignore into journalissuearticles values(PNL); has been considered a well established first-line theraphy which may present some problems in preschool-age population for larger stones or in SWL-refractory cases. We reviewed 44 preschool-age children with kidney stones treated with flexible ureteroscopy. Method: We retrospectively reviewed the records of all children with kidney stones younger than 7 years who underwent flexible ureteroscopy insert ignore into journalissuearticles values(FURS); at our institution between January 2004 and March 2012. Results: The mean patient age was 4.8±1.6 years insert ignore into journalissuearticles values(range 6 months to 7 years);. Twenty-four patients had renal pelvic calculi, 20 patients had polar calculi insert ignore into journalissuearticles values(9 upper pole, 7 lower pole, 4 midpolar);. Ten insert ignore into journalissuearticles values(22.7%); patients were previously treated for the same stone, including 6 insert ignore into journalissuearticles values(13.6%); patients with SWL, 2 insert ignore into journalissuearticles values(4.5%); patients with PNL, whereas 2 insert ignore into journalissuearticles values(4.5%); patients had only stent placement. There were no significant intraoperative complications. At the first insert ignore into journalissuearticles values(2 week); evaluation visit 7 insert ignore into journalissuearticles values(15.9%); patients insert ignore into journalissuearticles values(4 males and 3 females); has residual fragments of 3-5 mm detected by ultrasonography or KUB/non-contrast CT if needed. The overall stone-free rate after a single procedure at 3 rd  month was found 93.1% insert ignore into journalissuearticles values(41 patients);. No major complications occured. Postoperative complications were recorded in 10 insert ignore into journalissuearticles values(22.7%); patients, including urinary tract infection insert ignore into journalissuearticles values(UTI); in 6 insert ignore into journalissuearticles values(13.6%); insert ignore into journalissuearticles values(5 females, 1 male); , hematuria in 1 insert ignore into journalissuearticles values(2.2%); male patient and acute urinary retention insert ignore into journalissuearticles values(AUR); in 3 insert ignore into journalissuearticles values(6.8%); male patients, respectively. Discussion: Retrograde Intrarennal Surgery seems to be an important tool in the pediatric urologic armamentarium for treating kidney stones. FURS offers low morbidity of SWL but the potential stone-free rates approaching those of PNL in pediatric patients. To our knowledge, this is the largest series data reported revealed that FURS is very effective and safe in the management of pre-schoo age pediatric population with kidney Stones with a few minor complications. We believe FURS can become a first-line theraphy for these patients.
Keywords : Renal Stone, children, Intrarenal Surgery