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Endoscopic treatment of obstructive ureterohydronephrosis in children

Charikleia Demiri1, Vassilis Lambropoulos1, Vasileios Mouravas1

  • 1Second Department of Paediatric Surgery, Aristotle University of Thessaloniki, Papageorgiou General Hospital, Thessaloniki, Greece.

The Pan African Medical Journal
|October 5, 2020
PubMed

Insights

Endoscopic management effectively treats obstructive uropathies in children, offering a less invasive alternative to surgery. This approach provides quality of life for pediatric patients with obstructive ureterohydronephrosis.

Area of Science:

  • Pediatric Urology
  • Pediatric Surgery
  • Medical Management of Urological Disorders

Background:

  • Obstructive ureterohydronephrosis in children presents therapeutic challenges, with ongoing debate regarding optimal management strategies.
  • Current treatment options include observation, chemoprophylaxis, endoscopic procedures, and surgical interventions.
  • The principle of 'less is more' guides the selection of less invasive methods for pediatric patients.

Observation:

  • A case series involving pediatric patients with obstructive uropathies was reviewed.
  • The focus was on evaluating the outcomes of endoscopic management for these conditions.
  • The study specifically looked for instances where surgery was avoided.

Findings:

  • Endoscopic management of obstructive uropathies in the pediatric population proved to be a successful therapeutic strategy.
  • In the presented cases, endoscopic intervention eliminated the need for surgical procedures.
  • This highlights the efficacy of minimally invasive techniques.

Implications:

  • Endoscopic approaches offer a viable and less invasive alternative for treating obstructive ureterohydronephrosis in children.
  • These findings support the 'less is more' philosophy in pediatric urological interventions.
  • Further research into endoscopic techniques could refine treatment protocols and improve patient outcomes.

Keywords:
Ureterohydronephrosisendoscopic treatmentpaediatric surgery

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