Ureteroscopic management of lower-pole stones in a pediatric population.
Publication/Presentation Date
10-1-2007
Abstract
PURPOSE: We report our experience with ureteroscopy to treat lower-pole calculi in children.
PATIENTS AND METHODS: A retrospective review was conducted of all ureteroscopic procedures for lower-pole stone disease at a pediatric institution from 2000 through 2005. A total of 13 girls and 8 boys with a mean age of 15 years (range 1-20 years) underwent flexible ureteroscopy for lower-pole calculi. The mean stone burden was 12 mm. Stone-free status was defined by postoperative abdominal radiography, CT, or ultrasonography.
RESULTS: Ureteral stenting was performed preoperatively in 38% and postoperatively in 71% of the patients. Ureteral-access sheaths were placed in 43%. There were no intraoperative or postoperative complications. With a mean follow-up of 11 months, 76% of the children were stone-free. The success rate for stones93% v 33% for stones > or =15 mm (P = 0.01).
CONCLUSION: Ureteroscopy and laser lithotripsy are safe and effective in children with lower-pole calculi. Ureteroscopy can be considered a primary treatment option for children with lower-pole calculi <15 >mm.
Volume
21
Issue
10
First Page
1179
Last Page
1182
ISSN
0892-7790
Published In/Presented At
Cannon, G. M., Smaldone, M. C., Wu, H. Y., Bassett, J. C., Bellinger, M. F., Docimo, S. G., & Schneck, F. X. (2007). Ureteroscopic management of lower-pole stones in a pediatric population. Journal of endourology, 21(10), 1179–1182. https://doi.org/10.1089/end.2007.9911
Disciplines
Medicine and Health Sciences
PubMedID
17949321
Department(s)
Department of Surgery
Document Type
Article