Safety and outcome of rigid ureteroscopy for management of ureteral calculi in children

Journal of Endourology
Ahmed M el-AssmyHamdy A el-Kappany

Abstract

To present our experience with ureteroscopy for the treatment of pediatric ureteral calculi. The records of 32 children with an average age of 8.7 years (range 2-15 years) treated with rigid ureteroscopy between June 1994 and July 2003 were reviewed. In 33 ureteral units, 8F rigid ureteroscopy was carried out 35 times to treat stone disease. Stones were located in the upper ureter in 2 cases, the middle ureter in 2 cases, and the lower ureter in 29 cases. Stone size ranged from 4 to 15 mm (mean 7 mm). Dilatation of the ureteral orifice was necessary in 10 procedures. The management of stone in 29 children (90.7%) was straightforward, and a single procedure was sufficient to clear the ureters. In 2 children (6.2%), repeat ureteroscopy was undertaken to render the ureters stone free, and in 1 child (3.1%), it was not possible to remove the stone. Stones were fragmented with pneumatic lithotripsy in 2 cases and with the holmium laser in 9; in the remaining 22 cases, the stones were removed without fragmentation. Intraoperative complications occurred in 3 children (9.3%) and consisted of extravasation (1 patient) and stone migration (2 patients). The early postoperative complications were hematuria in one patient and renal colic in...Continue Reading

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Citations

Sep 21, 2007·Pediatric Surgery International·Ashish C KouraMallikarjun Reddy
Mar 28, 2008·Pediatric Surgery International·Ahmed S SafwatMedhat Abdalla
Jul 27, 2007·International Urology and Nephrology·Abdullah GedikMehmet Kamuran Bircan
Mar 4, 2011·Indian Journal of Urology : IJU : Journal of the Urological Society of India·Jiakai ZhuRanjiv I Mathews
Mar 25, 2014·Current Urology Reports·Natasha GuptaMing-Hsien Wang
Apr 13, 2012·Journal of Pediatric Urology·Murat AtarSuleyman Cakmakci
Sep 1, 2016·Journal of Endourology Case Reports·Juan-Pablo Caballero-RomeuJeronimo Gonzalvez-Piñera
Dec 13, 2007·European Urology·Glenn M PremingerUNKNOWN European Association of Urology
Nov 13, 2007·The Journal of Urology·Glenn M PremingerUNKNOWN EAU/AUA Nephrolithiasis Guideline Panel
Mar 22, 2016·The Journal of Urology·Rohit TejwaniJonathan C Routh
Nov 11, 2020·Pediatric Surgery International·Rajendra B NerliShridhar C Ghagane

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