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Percutaneous nephrolithotomy in children: A preliminary report.
Ahmad A Elderwy1, Mohamed Gadelmoula1, Mohamed A Elgammal1
1Department of Urology, Division of Pediatric Urology, Assiut University Hospitals, Assiut, Egypt.
Percutaneous nephrolithotomy (PNL) is a safe and effective treatment for pediatric kidney stones larger than 1.5 cm. Tubeless PNL offers comparable outcomes and is a preferred option for children.
Area of Science:
- Pediatric Urology
- Endourology
- Nephrolithiasis Management
Background:
- Pediatric nephrolithiasis recurrence and surgical morbidity necessitate advanced treatment options.
- Percutaneous nephrolithotomy (PNL) has shown success in adults, prompting its evaluation in children.
Purpose of the Study:
- To assess the safety and efficacy of PNL for pediatric renal stones measuring 1.5-5 cm.
- To compare outcomes between conventional and tubeless PNL in pediatric patients.
Main Methods:
- A prospective study of 38 children (47 renal units) undergoing PNL for renal stones (1.5-5 cm).
- Data collected included patient demographics, stone characteristics, and clinical outcomes.
- Comparison of conventional versus tubeless PNL procedures.
Main Results:
- High stone clearance rate of 91.5% after a single PNL procedure.
- Median operative time was 90 minutes, with a median hospital stay of 3 days.
- Perioperative complications occurred in 10.6% and were managed conservatively; tubeless PNL showed comparable outcomes.
Conclusions:
- PNL is a safe and feasible treatment for pediatric renal stones when performed by experienced endourologists.
- Tubeless PNL is a favorable option for pediatric patients, demonstrating comparable efficacy and safety.
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