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Management of multiple stones in a single session using minimally invasive methods in infants with renal failure:
Ahmet Ozturk1, Selcuk Guven, Mesut Piskin
1Department of Urology, Selcuk University Meram Medical School, 42080 Akyokus, Konya, Turkey.
Insights
Infants with obstructive uropathy and kidney stones causing acute renal failure were successfully treated with minimally invasive methods in a single session, achieving favorable outcomes.
Area of Science:
- Pediatric Urology
- Nephrology
- Minimally Invasive Surgery
Background:
- Infantile obstructive uropathy often necessitates prompt intervention to prevent renal damage.
- Kidney stones can lead to severe complications like acute renal failure in infants.
- The primary treatment goal is rapid, least invasive resolution of obstruction and stone clearance.
Observation:
- Two infants, aged 9 and 26 months, presented with bilateral kidney stones and acute renal failure.
- One infant also had a ureteral stone, complicating the presentation.
- Both cases required urgent management due to the severity of renal impairment.
Findings:
- Successful treatment was achieved in a single session for both patients.
- Minimally invasive surgical techniques were employed.
- Favorable outcomes were observed, indicating the efficacy of the chosen approach.
Implications:
- Minimally invasive methods offer a viable and effective solution for complex infantile urolithiasis.
- Early intervention with these techniques can lead to positive renal recovery in infants.
- This approach highlights the potential for successful management of severe pediatric stone disease.
Abstract:
The goal in the treatment of stone disease causing infantile obstructive uropathy is to obtain a quick resolution of the obstruction using the least invasive treatment modality available and rendering the patient stone-free, if possible. Two infants with bilateral kidney stones, the first of whom also had ureteral stone, were referred to our clinic with acute renal failure and were treated successfully in a single session using minimally invasive methods. In this report, we discuss the management of these two cases, aged 9 and 26 months, which resulted in favorable outcomes.
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