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Paediatric ureterolithotripsy: Tips and tricks - Experience at a single center
Milind Prabhakarrao Joshi1, Priti Subhash Zade1, Bhavesh H Doshi1
1Department of Paediatric Surgery, Dr. Ulhas Patil Medical College and Hospital, Jalgaon, Maharashtra, India.
African Journal of Paediatric Surgery : AJPS
|March 1, 2018
Summary
Paediatric ureterolithotripsy is a feasible and effective treatment for children with ureteric stones up to 15 mm. This minimally invasive procedure offers high stone clearance rates in paediatric ureterolithiasis.
Area of Science:
- Urology
- Paediatric Surgery
Background:
- Paediatric stone disease is prevalent in India, with a traditional reliance on open surgeries by paediatric surgeons.
- A lack of paediatric-specific endourological equipment and training contributes to paediatric surgeons' reluctance towards endourology.
- Adult urologists often manage paediatric endourology, highlighting a gap in specialized paediatric care.
Purpose of the Study:
- To assess the feasibility and success of paediatric ureterolithotripsy for ureteric stones in children.
- To introduce and evaluate paediatric ureterolithotripsy for stones up to 15 mm at a rural tertiary care center.
Main Methods:
- Inclusion of patients up to 18 years with ureterolithiasis unresponsive to conservative treatment.
- Application of paediatric ureterolithotripsy for ureteric calculi.
- Focus on stones up to 15 mm in size.
Main Results:
- Thirty-one paediatric patients underwent ureterolithotripsy (URSL).
- A stone clearance rate exceeding 95% was achieved.
- The procedure demonstrated high efficacy in managing paediatric ureteric stones.
Conclusions:
- Single-stage paediatric ureterolithotripsy is a highly feasible and effective treatment option.
- Successful stone clearance is achievable in paediatric ureterolithiasis using this technique.
- The study supports the adoption of paediatric ureterolithotripsy in specialized centers.
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