Related Experiment Videos
Ureteroscopy for pediatric urolithiasis: an evolving first-line therapy.
A H H Tan1, M Al-Omar, J D Denstedt
1Division of Urology, Department of Surgery, University of Western Ontario, London, Ontario, Canada.
Urology
|January 26, 2005
Summary
Ureteroscopy effectively treats pediatric kidney and ureteral stones in patients 14 years and younger. This minimally invasive procedure offers a high success rate for pediatric urolithiasis management.
Area of Science:
- Pediatric Urology
- Endourology
- Nephrolithiasis Management
Background:
- Pediatric urolithiasis (kidney and ureteral stones) treatment has evolved.
- Advancements in ureteroscopes and instruments make endoscopic stone removal feasible in children.
Purpose of the Study:
- To report on ureteroscopy outcomes for pediatric patients (≤14 years) with stones.
- Evaluate the safety and efficacy of ureteroscopy as a treatment for pediatric urolithiasis.
Main Methods:
- Retrospective chart review of 23 patients (≤14 years) treated for ureteral or renal calculi.
- Analysis of stone location, treatment modalities, operative time, and outcomes.
Main Results:
- 27 stones treated in 23 pediatric patients.
- High success rate: 95.2% stone-free after ureteroscopy.
- Holmium:YAG laser was the primary lithotripsy modality used.
Conclusions:
- Ureteroscopy is a safe and effective treatment for pediatric kidney and ureteral stones.
- It is a viable first-line therapy for pediatric urolithiasis at our institution.