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Holmium:YAG lithotripsy in children
T A Wollin1, J M Teichman, V J Rogenes
1Division of Urology, University of Western Ontario, London, Canada.
The Journal of Urology
|October 19, 1999
Summary
Holmium:YAG lithotripsy is a safe and effective treatment for pediatric kidney stones. This study shows high success rates in children, making it a viable option when other treatments fail or are not suitable.
Area of Science:
- Pediatric Urology
- Minimally Invasive Surgery
- Nephrolithiasis Treatment
Background:
- Pediatric kidney stones require effective and safe treatment options.
- Holmium:YAG (Ho:YAG) laser lithotripsy is a widely used modality for stone fragmentation.
Purpose of the Study:
- To evaluate the safety and efficacy of Ho:YAG lithotripsy in pediatric patients.
- To assess Ho:YAG lithotripsy as an initial or alternative therapy for pediatric stones.
Main Methods:
- Retrospective review of pediatric patients (≤17 years) undergoing Ho:YAG lithotripsy.
- Data collected included demographics, stone characteristics, and procedural outcomes.
- Procedures included retrograde ureteroscopy and percutaneous nephrolithotripsy.
Main Results:
- 19 children (9 boys, 10 girls) with 26 stones were treated.
- 84% of patients achieved a complete stone-free status after one procedure.
- No intraoperative injuries were reported, and follow-up showed no strictures or hydronephrosis.
Conclusions:
- Ho:YAG lithotripsy is a safe and effective treatment for pediatric urolithiasis.
- It serves as a good alternative for cases of failed shock wave lithotripsy or specific stone types/contraindications.