Status quo of percutaneous nephrolithotomy in children.

Urological Research
Sotirios Bogris, Athanasios G Papatsoris

Abstract

Paediatric nephrolithiasis is quite challenging in terms of management because of the smaller size of the urinary tract and the bigger risk for stone recurrence. Children bear a higher risk of metabolic and infectious causes of stone disease and a longer lifetime risk for recurrence, especially in cases of residual fragments. Complete stone clearance should become the absolute objective and clinically insignificant residual fragments should be avoided. Nowadays, percutaneous nephrolithotomy (PCNL) arises as a logical first-line treatment option for considerable paediatric nephrolithiasis as miniaturization of endoscopes and advances in energy sources for stone fragmentation have facilitated stone-free rates. In this review we present the evolution of PCNL in children and we demonstrate its safety and efficacy. As appropriate instruments are available and relevant surgical experience is accumulating, age should no longer exist as a limiting factor for performing PCNL.

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Jun 22, 2012·Current Urology Reports·Hasan Serkan Dogan, Serdar Tekgul
Mar 20, 2012·The Journal of Urology·Selcuk YucelErol Guntekin
Mar 31, 2015·Journal of Pediatric Urology·W GamalM Aldahshoury
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Mar 16, 2019·PloS One·Ronald Ayoub, Yugyung Lee
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Sep 1, 2012·Arab Journal of Urology·Christian BachNoor Buchholz
Feb 3, 2011·Current Opinion in Urology

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