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Percutaneous nephrolithotomy in children: early and late anatomical and functional results

Mohamed S Dawaba1, Ahmed A Shokeir, Ashraf T Hafez

  • 1Urology & Nephrology Center, Mansoura University, Mansoura, Egypt.

The Journal of Urology
|August 18, 2004
PubMed

Insights

Percutaneous nephrolithotomy (PCNL) is a safe and effective treatment for pediatric kidney stones. This procedure improves renal function and avoids scarring in children, offering excellent long-term results.

Area of Science:

  • Pediatric Urology
  • Nephrolithiasis Management
  • Minimally Invasive Surgery

Background:

  • Renal calculi in children pose a significant health challenge.
  • Percutaneous nephrolithotomy (PCNL) is an established treatment for adult kidney stones.
  • Evaluating PCNL's efficacy and safety in pediatric populations is crucial.

Purpose of the Study:

  • To assess the early and late anatomical outcomes of PCNL in children.
  • To evaluate the functional results of PCNL in pediatric patients.
  • To determine the safety profile of PCNL in the pediatric population.

Main Methods:

  • A cohort of 65 children (72 kidneys) with renal calculi underwent PCNL.
  • Patients were followed for 6 to 72 months, with regular check-ups.
  • Renal scarring and glomerular filtration rate (GFR) were assessed using specialized scans.

Main Results:

  • High stone-free rates were achieved: 86% after single PCNL, 93% at discharge, and 100% at 3 months.
  • Early complications were minimal (bleeding, perforation, fever).
  • Long-term follow-up showed no renal scarring and a statistically significant improvement in GFR (p <0.01).

Conclusions:

  • PCNL is a safe and effective treatment for pediatric renal calculi.
  • The procedure leads to improved renal function without causing renal scarring.
  • PCNL offers favorable long-term outcomes for children with kidney stones.
Abstract

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