[Flexible ureteroscopic lithotripsy in a 22-months-old child]

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A Faure1, J Laroche, E Lechevallier

  • 1Service de chirurgie pédiatrique, université de la Méditerranée, hôpital Nord, AP-HM, chemin des Bourrelly, 13915 Marseille cedex 20, France. alice.faure@ap-hm.fr

Progres En Urologie : Journal De L'Association Francaise D'Urologie Et De La Societe Francaise D'Urologie
|January 4, 2011
PubMed

Insights

Pediatric flexible ureteroscopy with holmium laser lithotripsy is a safe and effective treatment for kidney stones. This minimally invasive approach offers excellent outcomes for young children with urinary tract calculi.

Area of Science:

  • Pediatric Urology
  • Endourology
  • Nephrolithiasis Management

Background:

  • Advancements in endourology have improved the management of pediatric urinary tract calculi.
  • Miniaturized endoscopic equipment enables flexible ureteroscopy with holmium YAG laser lithotripsy in children.

Observation:

  • A case study involving a 22-month-old child with a history of megaureter and a calculus in the right kidney's lower pole.
  • The procedure utilized an adapted technical tray, an 8 Charriere (Ch) ureteroscope, and holmium laser intracorporeal lithotripsy without requiring ureteral dilation.

Findings:

  • Complete fragmentation of an infectious calculus was achieved.
  • Flexible ureteroscopy proved practicable, efficient, and safe for treating the pediatric stone.

Implications:

  • This technique offers a viable, minimally invasive option for pediatric kidney stone treatment.
  • Collaborative care between pediatric and adult urology specialists can facilitate complex pediatric endourological procedures.

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