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Ureteroscopy is safe and effective in prepubertal children.

Eugene Minevich1, William Defoor, Pramod Reddy

  • 1Cincinnati Children's Hospital, Cincinnati, Ohio, USA. minee0@chmcc.org

The Journal of Urology
|June 11, 2005
PubMed
Summary

Ureteroscopy is safe and effective in children younger than 12 years for treating kidney stones and other ureteral issues. This study shows high success rates and low complication rates in pediatric patients undergoing ureteroscopy.

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Area of Science:

  • Pediatric Urology
  • Minimally Invasive Surgery
  • Endourology

Background:

  • Ureteroscopy is a common procedure for treating urological conditions in adults.
  • Data on the safety and efficacy of ureteroscopy in prepubertal children is limited.
  • This study aims to contribute to the understanding of pediatric ureteroscopy outcomes.

Purpose of the Study:

  • To evaluate the safety and effectiveness of ureteroscopy in children 12 years or younger.
  • To analyze outcomes for various indications, including calculi, strictures, and polyps.
  • To document the largest series of ureteroscopy outcomes in this age group.

Main Methods:

  • Retrospective cohort study of 71 children (12 years or younger) undergoing ureteroscopy at two institutions (1993-2003).

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  • Data collected included demographics, surgical indications, techniques, outcomes, and complications.
  • Both flexible and rigid ureteroscopy approaches were analyzed.

    • Main Results:

    • High success rate (98%) for endoscopic lithotripsy in 65 cases.
    • Low complication rate of 1.3%, with one ureteral stricture successfully treated.
    • No intraoperative ureteral injuries were reported.
    • Dilation of the ureteral orifice was required in 30% of cases.

    Conclusions:

    • Ureteroscopy, both rigid and flexible, is a safe and effective treatment option for prepubertal children.
    • Outcomes for pediatric calculi are comparable to adult populations.
    • Ureteroscopic interventions are effective for selected cases of intraluminal obstruction in children.