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Published on: September 13, 2022
Micropercutaneous nephrolithotomy (microperc) in a two-year-old with the 'all-seeing needle'
Mehmet Kaynar1, Alpay Sümer, Ahmet Şalvarcı
1Department of Urology, Konya Education and Research Hospital, Konya, Turkey. mekaynar@gmail.com
This study details the youngest case of single-step micropercutaneous nephrolithotomy (microperc) in a toddler to remove a 13-mm kidney stone. The microperc technique demonstrates advantages and reliability for treating pediatric renal stones.
Area of Science:
- Pediatric Urology
- Minimally Invasive Surgery
- Nephrolithiasis Treatment
Background:
- Renal stones in toddlers are rare and challenging to treat.
- Traditional treatments can be invasive and carry risks for young children.
Observation:
- A 13-mm renal stone was successfully treated in a 2-year-old toddler.
- The single-step micropercutaneous nephrolithotomy (microperc) procedure was employed using a 4.85-Fr 'all-seeing needle'.
- This represents the youngest reported case of microperc for renal stone treatment in the current literature.
Findings:
- The microperc procedure was effective in stone removal in this pediatric patient.
- The technique was found to be reliable for treating renal stones in a toddler.
- The 'all-seeing needle' facilitated precise stone targeting and removal.
Implications:
- Microperc offers a minimally invasive option for pediatric renal stone management.
- This technique may be a viable and safe alternative for treating kidney stones in very young children.
- Further research can explore the long-term outcomes and broader application of microperc in pediatric urolithiasis.
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