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Rigid ureteroscopy in children: Our experience
Venkat Sripathi1, Sujit K Chowdhary2, Deepak K Kandpal2
1Department of Pediatric Urology and Pediatric Surgery, Apollo Children's Hospital, Chennai, Tamil Nadu, India.
Journal of Indian Association of Pediatric Surgeons
|September 9, 2014
Summary
Pediatric ureterorenoscopy is a safe and effective treatment for ureteric calculi (stones) in children. This study confirms its efficacy even in very young patients, supporting endoscopic management for pediatric ureteral stones.
Area of Science:
- Pediatric Urology
- Endourology
- Pediatric Surgery
Background:
- Ureteric calculi in children present a unique management challenge.
- Minimally invasive techniques are preferred for pediatric stone disease.
Purpose of the Study:
- To evaluate the safety and efficacy of pediatric ureterorenoscopy for ureteric calculi.
- To report experience from two tertiary pediatric urology centers.
Main Methods:
- Retrospective analysis of pediatric patients with symptomatic ureteric stones > 6 mm.
- Exclusion criteria included age < 12 months or > 18 years, and non-stone indications for ureterorenoscopy.
- Standardized investigative and treatment protocols were applied.
Main Results:
- Thirty-eight children underwent ureterorenoscopy (20 in Chennai, 18 in New Delhi).
- Mean ages were 10.4 (Chennai) and 8.5 (New Delhi) years; youngest patients were 14 and 24 months.
- Only one conversion to open surgery occurred in each group; pneumatic lithotripsy and holmium laser were utilized.
Conclusions:
- This is the largest Indian series on pediatric ureterorenoscopy for ureteric calculi.
- The study confirms the safety and efficacy of ureterorenoscopy in children, including younger age groups.
- Pre-stenting and delayed ureterorenoscopy facilitate safe endoscopic treatment for ureteric calculi in children under five years.
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