Abstract
Pediatric ureteroscopy was first performed in 1929 by Hugh Hampton Young. The procedure was performed on a 2-month-old boy with massively dilated ureters secondary to posterior urethral valves. Young utilized a 9.5-Fr pediatric cystoscope to visualize the ureter as well as the intrarenal collecting system. After many decades, ureteroscopic management of pediatric stone disease was described by Ritchey et al. and Shepherd et al. in 1988. Since then, with the miniaturization of endoscopic instruments, improvement in imaging modalities, improvement in intracorporeal lithotripters and ancillary instruments, ureteroscopy has become a safe and effective endourological treatment in this patient population. But there are some important differences as compared to adult ureteroscopy. In this chapter, we discuss the difficulties which can occur during pediatric ureteroscopy and the tips and tricks to overcome them.
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Ganesamoni, R., Mishra, S., Desai, M. (2013). Pediatric Ureteroscopy: Overcoming the Difficulties. In: Al-Kandari, A., Desai, M., Shokeir, A., Shoma, A., Smith, A. (eds) Difficult Cases in Endourology. Springer, London. https://doi.org/10.1007/978-1-84882-083-8_29
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DOI: https://doi.org/10.1007/978-1-84882-083-8_29
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