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Retrograde intrarenal surgery in infants and preschool-age children

Ali Unsal1, Berkan Resorlu

  • 1Department of Urology, Ministry of Health, Kecioren Training and Research Hospital, Ankara 06380, Turkey.

Journal of Pediatric Surgery
|November 15, 2011
PubMed

Insights

Retrograde intrarenal surgery is safe and effective for treating kidney stones in children under seven. This minimally invasive approach achieved an 88% stone-free rate with few complications in young patients.

Area of Science:

  • Pediatric Urology
  • Minimally Invasive Surgery
  • Nephrolithiasis Management

Background:

  • Pediatric kidney stones are challenging to treat, especially in young children.
  • Limited data exists on the efficacy of retrograde intrarenal surgery (RIRS) in children under seven.

Purpose of the Study:

  • To evaluate the safety and efficacy of RIRS for renal calculi in children younger than seven years.
  • To present surgical outcomes and complication rates in this specific pediatric age group.

Main Methods:

  • Retrospective review of 16 patients (17 procedures) under seven years old treated with RIRS.
  • Flexible ureteroscopy and laser lithotripsy were utilized for all stone burdens.
  • Data collected included stone characteristics, surgical details, stone-free status, and complications.

Main Results:

  • An 88% stone-free rate was achieved after a mean follow-up of 10.3 months.
  • Success rates were 100% for stones <10 mm and 81.8% for stones ≥10 mm.
  • No major complications occurred; one case of ureteral perforation was managed conservatively.

Conclusions:

  • Retrograde intrarenal surgery is a safe and effective treatment for pediatric renal calculi in children under seven.
  • RIRS offers reasonable stone-free rates with minimal complications in this young population.
  • This technique represents a viable option for managing intrarenal stones in pre-school-aged children.
Abstract

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