When is prior ureteral stent placement necessary to access the upper urinary tract in prepubertal children?
Publication/Presentation Date
10-1-2008
Abstract
PURPOSE: We studied the possibility that age, height, weight and body mass index could be used to predict the likelihood of successful ureteroscopic access to the upper urinary tract without previous stent placement in prepubertal children.
MATERIALS AND METHODS: We retrospectively reviewed all ureteroscopic procedures for upper tract calculi in prepubertal children from 2003 to 2007. We compared age, height, weight and body mass index in patients who underwent successful primary flexible ureteroscopic access and in those who required initial stent placement to perform ureteroscopy.
RESULTS: Successful primary ureteroscopic access to the upper tract was achieved in 18 of 30 patients (60%). There was no difference in mean age (9.9 vs 9.5 years, p = 0.8), height (132 vs 128 cm, p = 0.6), weight (37 vs 36 kg, p = 0.86) or body mass index (19.3 vs 20.5 kg/m(2), p = 0.55) between patients with successful vs unsuccessful upper tract access. Locations that prevented access to the upper urinary tract were evenly distributed among the ureteral orifice, iliac vessels and ureteropelvic junction.
CONCLUSIONS: Age, height, weight and body mass index could not predict the likelihood of successful ureteroscopic access to the upper tract. Placement of a ureteral stent for passive ureteral dilation is not necessary for successful ureteroscopic access to the renal pelvis in prepubertal children. An initial attempt at ureteroscopy, with placement of a ureteral stent if upper tract access is unsuccessful, decreases the number of procedures while maintaining a low complication rate.
Volume
180
Issue
4 Suppl
First Page
1861
Last Page
1863
ISSN
1527-3792
Published In/Presented At
Corcoran, A. T., Smaldone, M. C., Mally, D., Ost, M. C., Bellinger, M. F., Schneck, F. X., Docimo, S. G., & Wu, H. Y. (2008). When is prior ureteral stent placement necessary to access the upper urinary tract in prepubertal children?. The Journal of urology, 180(4 Suppl), 1861–1864. https://doi.org/10.1016/j.juro.2008.03.106
Disciplines
Medicine and Health Sciences
PubMedID
18721946
Department(s)
Department of Surgery
Document Type
Article