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Microureteroscopy in Children: Two First Cases.

Juan-Pablo Caballero-Romeu¹, Alberto Budia-Alba², Juan-Antonio Galan-Llopis³

¹Department of Urology, University General Hospital of Alicante , Alicante, Spain .

Journal of Endourology Case Reports

|September 1, 2016

Summary

Microureteroscopy effectively treats pediatric ureteral stones. This minimally invasive technique offers a safe and rapid solution for young patients with urinary lithiasis, avoiding complications and enabling quick recovery.

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Area of Science:

Pediatric Urology
Minimally Invasive Surgery
Endourology

Background:

Urinary stone disease (lithiasis) incidence is rising in children.
Ureteroscopy is increasingly utilized for pediatric ureteral stones, facilitated by endoscope miniaturization.
Extracorporeal shock wave lithotripsy remains a common treatment, but ureteroscopy offers an alternative.

Observation:

This study presents two pediatric cases of pelvic ureteral stones causing ureterohydronephrosis.
Microureteroscopy utilizing a MicroPerc set with a 4.85F sheath was performed for diagnosis and treatment.
The procedure avoided ureteral meatus dilation and the need for a safety guide.

Findings:

Microureteroscopy successfully diagnosed and treated ureteral lithiasis in both pediatric patients.
The use of a 4.85F sheath facilitated exploration of the pelvic ureter.
Patients experienced no need for postoperative ureteral stents and were discharged within 24 hours.

Implications:

Microureteroscopy is a satisfactory and effective treatment for pediatric ureteral pathology.
This technique allows for simultaneous diagnosis and treatment of ureteral stones in children.
The minimally invasive approach may reduce patient recovery time and hospital stay.