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Ureteroscopic stone management in prepubertal children

Keramettin Uğur Ozkan1, Vedat Bakan, Ayhan Mil

  • 1Department of Pediatric Surgery, Medical Faculty, Kahramanmaras Sutcu Imam University, Kahramanmaras, Turkey. ozekan @ hotmail.com

Urologia Internationalis
|July 29, 2010
PubMed

Insights

Ureteroscopy (URS) is a safe and effective treatment for ureteral stones in young children. This study found a high stone-free rate, suggesting URS is a viable option for pediatric urolithiasis.

Area of Science:

  • Pediatric Urology
  • Endourology

Background:

  • Ureteroscopy (URS) is a minimally invasive procedure for treating ureteral stones.
  • Assessing the efficacy and safety of URS in prepubertal children is crucial for establishing pediatric treatment guidelines.

Purpose of the Study:

  • To evaluate the outcomes of ureteroscopy in prepubertal children with ureteral calculi.
  • To determine the stone-free rates and complication profiles associated with URS in this specific age group.

Main Methods:

  • Retrospective review of 26 prepubertal children undergoing 30 URS procedures for 31 ureteral calculi.
  • Data collected included patient demographics, stone characteristics, operative details (dilatation, stenting), and outcomes (stone-free rate, complications).

Main Results:

  • The overall stone-free rate was 84.6% for ureteral calculi treated with URS.
  • Active ureteral dilatation was not used in 18 procedures; passive dilatation was needed in 8 cases for ureteral access.
  • Postoperative stenting was required in 46% of patients for reasons including stone burden and ureteral edema.

Conclusions:

  • Ureteroscopy is a safe and effective treatment for ureteral stones in prepubertal children, even without active ureteral dilatation.
  • Passive ureteral dilatation may be necessary in select cases to facilitate ureteral access during URS in children.
Abstract

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