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Published on: September 13, 2022
Endoscopic management of stones in children
1Department of Urology, Muljibhai Patel Urological Hospital, Nadiad, Gujarat 387-001, India. mrdesai@mpuh.org
Insights
Minimally invasive techniques, including shock-wave lithotripsy, percutaneous nephrolithotomy, and ureteroscopy, are safe and effective for pediatric urolithiasis. Proper planning ensures optimal outcomes for children with kidney stones.
Area of Science:
- Pediatric Urology
- Endourology
- Nephrolithiasis Management
Background:
- Pediatric urolithiasis management has shifted towards minimally invasive approaches.
- Endourological procedures are increasingly utilized in pediatric patients.
Purpose of the Study:
- To review literature from January 2003 to September 2004 on the endoscopic management of pediatric urolithiasis.
- To assess current trends and established techniques for treating kidney stones in children.
Main Methods:
- Literature review of studies published between January 2003 and September 2004.
- Focus on endoscopic management of pediatric urolithiasis.
Main Results:
- Shock-wave lithotripsy is the preferred treatment for pediatric stones.
- Percutaneous nephrolithotomy and ureteroscopy are safe across all pediatric age groups.
- Retrograde intrarenal surgery and laparoscopic surgery are emerging techniques requiring further evaluation.
Conclusions:
- Most pediatric urolithiasis cases can be managed with minimally invasive techniques.
- Effective treatment planning and appropriate instrumentation are crucial for successful outcomes.
Purpose Of Review:
Management of pediatric urolithiasis has evolved from open surgery to minimally invasive techniques. With advancements in instrumentation, endourological procedures are being performed more commonly in children. The current article reviews the literature published from January 2003 to September 2004 regarding endoscopic management of stones in children.
Recent Findings:
Whereas recent literature supports shock-wave lithotripsy as the preferred treatment option for pediatric stones, it also confirms the safety of percutaneous nephrolithotomy and ureteroscopy in all age groups. Retrograde intrarenal surgery and laparoscopic surgery are newer additions to the armamentarium of the endourologist but their role needs to be better defined.
Summary:
The majority of stones in children can be managed using minimally invasive techniques. Proper treatment planning and use of appropriate instrumentation are important to achieve optimal outcome.
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