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Simultaneous bilateral percutaneous nephrolithotomy in children.

Morshed A Salah¹, Béla Tállai, Endre Holman

¹Department of Urology, Medical and Health Science Center, University of Debrecen, Nagyerdei krt. 98, 4032 Debrecen, Hungary. morshed@jaguar.unideb.hu

BJU International

|January 11, 2005

Summary

Simultaneous bilateral percutaneous nephrolithotomy (PCNL) is a feasible and safe technique for removing kidney stones in children. This approach reduces patient stress, hospital stay, and costs, making it a viable option for pediatric urolithiasis management.

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Area of Science:

Pediatric Urology
Surgical Innovation

Background:

Kidney stones in children can present complex management challenges.
Percutaneous nephrolithotomy (PCNL) is an established procedure for kidney stone removal.

Purpose of the Study:

To evaluate the efficacy and safety of performing simultaneous bilateral percutaneous nephrolithotomy (PCNL) in a single session for pediatric patients.
To assess the feasibility of this combined approach in children with bilateral kidney stones.

Main Methods:

Thirteen pediatric patients (mean age 8 years) underwent simultaneous bilateral PCNL under general anesthesia.
Utilized adult-sized nephroscopes and ultrasonic disintegration for stone removal; some cases included endopylotomy or cystolithotomy.
Mean operative time was 65 minutes.

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Main Results:

All patients achieved stone-free status, with no major complications reported.
One patient required a second session for residual stone removal.
Average hospital stay was 6 days, with nephrostomy tubes removed within 3-4 days post-procedure.

Conclusions:

Simultaneous bilateral PCNL offers advantages including reduced psychological stress, fewer procedures, and shorter recovery times for pediatric patients.
This technique, when performed by experienced surgeons, is safe and effective in children.
This study represents the first report of simultaneous bilateral PCNL in the pediatric population.