Ureteroscopic management of lower-pole stones in a pediatric population.

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 stones <15 mm was 93% 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.

• Authors: Glenn M Cannon, Marc C Smaldone, Hsi-Yang Wu, Jeffrey C Bassett, Mark F Bellinger, Steven G Docimo, Francis X Schneck
• Journal: Journal of endourology (J Endourol) Vol. 21 Issue 10 Pg. 1179-82 (Oct 2007) ISSN: 0892-7790 [Print] United States
• PMID: 17949321 (Publication Type: Journal Article)

Topics

• Adolescent
• Adult
• Child
• Child, Preschool
• Female
• Humans
• Infant
• Kidney Calculi (diagnostic imaging, surgery)
• Male
• Retrospective Studies
• Stents
• Tomography, X-Ray Computed
• Treatment Outcome
• Ultrasonography
• Ureteroscopy (adverse effects, methods)