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Simultaneous bilateral percutaneous nephrolithotomy in children: no need to delay
Selcuk Guven1, Ahmet Ozturk, Mehmet Arslan
1Department of Urology, Selcuk University Meram Medical School, Konya, Turkey. selcukguven@selcuk.edu.tr
Journal of Endourology
|March 1, 2011
Summary
Simultaneous bilateral percutaneous nephrolithotomy (SBPCNL) is a safe and effective treatment for pediatric kidney stones when patients are carefully selected. This procedure offers a viable alternative to staged treatments for bilateral renal calculi in children.
Area of Science:
- Pediatric Urology
- Nephrolithiasis Management
- Minimally Invasive Surgery
Background:
- Bilateral kidney stones in children are typically managed with staged percutaneous nephrolithotomy (PCNL).
- Limited data exists on the efficacy and safety of simultaneous bilateral PCNL (SBPCNL) in pediatric populations.
Purpose of the Study:
- To assess the efficacy and safety of simultaneous bilateral percutaneous nephrolithotomy (SBPCNL) in pediatric patients.
- To evaluate SBPCNL as a treatment option for children with bilateral renal stones.
Main Methods:
- Retrospective review of hospital records for children who underwent SBPCNL between January 2007 and February 2010.
- Analysis of patient demographics, stone burden, operative time, hospitalization, and outcomes.
Main Results:
- SBPCNL was performed on five pediatric patients with bilateral renal stones (mean age 6.28 years).
- The mean operative time was 75 minutes, and mean hospitalization was 4 days, with no blood transfusions required.
- Four patients achieved stone-free status post-procedure, demonstrating high efficacy, with one complex case requiring further intervention.
Conclusions:
- SBPCNL is a safe and effective treatment for pediatric bilateral kidney stones in appropriately selected patients with experienced surgeons.
- Further research with larger cohorts is recommended to solidify the role of SBPCNL in pediatric urolithiasis.
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