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Treatment of upper urinary tract stones with flexible ureteroscopy in children

Jing Xiao1, Xiangyu Wang1, Jun Li1

  • 1Department of Urology, Beijing Friendship Hospital, Capital Medical University, Beijing, China.

Canadian Urological Association Journal = Journal De L'Association Des Urologues Du Canada
|September 1, 2018
PubMed

Insights

Flexible ureteroscopy (FURS) with holmium laser lithotripsy effectively treats pediatric upper urinary tract stones. This safe procedure achieved an 89% stone-free rate in 100 children, with minor complications.

Area of Science:

  • Pediatric Urology
  • Endourology
  • Nephrolithiasis Treatment

Background:

  • Upper urinary tract stones in children pose a significant clinical challenge.
  • Flexible ureteroscopy (FURS) has emerged as a minimally invasive treatment option.
  • Holmium laser lithotripsy offers precise stone fragmentation capabilities.

Purpose of the Study:

  • To evaluate the efficacy and safety of FURS combined with holmium laser lithotripsy.
  • To assess the stone-free rate and complication profile in pediatric patients.
  • To identify factors influencing treatment outcomes in children with upper tract stones.

Main Methods:

  • Retrospective analysis of 100 pediatric patients undergoing FURS with holmium laser lithotripsy.
  • Preoperative stenting with a double-J stent was performed in all cases.
  • Data on operative parameters, stone characteristics, and postoperative outcomes were collected and analyzed.

Main Results:

  • An overall stone-free rate of 89% was achieved after a single operation.
  • Mean stone diameter was 1.49 cm; average operative time was 30.8 minutes.
  • The most common complications were postoperative hematuria (64%) and urinary tract infection (7.1%); no ureteral perforations occurred.

Conclusions:

  • FURS combined with holmium laser lithotripsy is an effective and safe treatment for pediatric upper urinary tract stones.
  • Stone size and staghorn calculi were significantly associated with the stone-free rate.
  • The procedure demonstrates a favorable safety profile with manageable complications in the pediatric population.
Abstract

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