Abstract
Ureteroscopy for treating ureteric stones in prepubertal children has become more common with the advent of smaller endoscopes. We retrospectively reviewed our experience with ureteroscopy for ureteric stone in this cohort of patients. During the period Jan 2001 and June 2005, we performed 22 ureteroscopic procedures in 20 children. Ureteroscopy was done in a manner similar to that in adults. Ureteral dilatation was done in all cases. A stent was placed postoperatively if there was significant stone burden, ureteral trauma, impaction and edema of ureteric orifice. Of the 20 children, 18 were male and 2 were females. Average age was 5.2 years (range 3–9). Stones were 4–14 mm in size (average 6 mm). Overall 90% of the children were rendered stone free after one procedure and 100% after two procedures. Ureteroscopy for ureteric stones in prepubertal children is safe and effective first line treatment in whom conservative therapy fails. Routine ureteral stent placement postoperatively is not always necessary.
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References
Borgmann V, Nagel R (1982) Urolithiasis in childhood: a study of 181 cases. Urol Int 37:198–204
Minevich E, DeFoor W, Reddy P, Nishinaka K, Wacksman J, Sheldon C, Erhard M (2005) Ureteroscopy is safe and effective in prepubertal children. J Urol 174:276–279
Thomas JC, DeMarco RT, Donohoe JM, Adams MC, Brock JW, Pope JC (2005) Pediatric ureteroscopic stone management. J Urol 174:1072–1074
Schuster TG, Kelly YR, Bloom DA, Koo HP, Faerber GA (2002) Ureteroscopy for the treatment of urolithiasis in children. J Urol 167:1813–1816
El-Assmy A, Hafez AT, Eraky I, Nahas AR, El-Kappany HA (2006) Safety and outcome of rigid ureteroscopy for management of ureteral calculi in children. J Endourol 20:252–255
Dominicis M, Matarazzo E, Capozza N, Collura G, Caione P (2005) Retrograde ureteroscopy for distal ureteric stone removal in children. BJU Int 95:1049–1052
Minevich E, Sheldon CA (2006) The role of ureteroscopy in pediatric urology. Curr Opin Urol 16:295–298
Raza A, Smith G, Moussa S (2005) Ureteroscopy in the management of pediatric urinary tract calculi. J Endourol 19:151–158
Hubert KC, Palmer JS (2005) Passive dilatation by ureteral stenting before ureteroscopy: eliminating the need for active dilatation. J Urol 174:1079–1080
Abara E, Merquerian PA, McLorie GA, Psihramis KE, Jewett MA, Churchill BM (1990) Lithostar extracorporeal shockwave lithotripsy in children. J Urol 144:489–491, discussion 492–493
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Koura, A.C., Ravish, I.R., Amarkhed, S. et al. Ureteroscopic stone management in prepubertal children. Pediatr Surg Int 23, 1123–1126 (2007). https://doi.org/10.1007/s00383-007-2012-9
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DOI: https://doi.org/10.1007/s00383-007-2012-9