Small Ureteral Access Sheath in Treating Paediatric Urolithiasis: A Single Centre Experience
Sahar Aljumaiah1,2, Nasser Allubly3, Ahmad Alshammari1,2,4
1Division of Urology, Department of Surgery, Ministry of the National Guard - Health Affairs, Riyadh, Saudi Arabia.
Research and Reports in Urology
|December 30, 2020
Summary
Ureteral access sheaths (UAS) safely facilitate flexible ureteroscopy in children with kidney stones. This study found UAS use to be efficient and safe, with a high stone-free rate and no complications in pediatric patients.
Area of Science:
- Pediatric Urology
- Endourology
- Nephrolithiasis Treatment
Background:
- Pediatric urolithiasis is uncommon.
- Ureteral access sheaths (UAS) aid pediatric ureteroscopy, but their use is debated.
- UAS may reduce ureteral injury during pediatric procedures.
Purpose of the Study:
- To evaluate the safety and effectiveness of ureteral access sheaths (UAS) in pediatric patients.
- To assess outcomes of UAS use in treating pediatric renal and ureteral stones.
- To determine complication rates associated with UAS in pediatric flexible ureteroscopy.
Main Methods:
- Prospective cohort study involving 14 pediatric patients.
- Flexible ureteroscopy (fURS) performed with UAS for symptomatic stones.
- Data collected on patient demographics, operative time, stone-free status, and complications.
Main Results:
- 11 out of 14 pediatric patients (78.6%) achieved a stone-free status.
- Average operative time was 55.7 minutes.
- No complications were reported; stone-free rates improved with smaller stone burdens (≤10 mm).
Conclusions:
- Ureteral access sheaths (UAS) facilitate flexible ureteroscopy in children.
- UAS use in pediatric urolithiasis treatment is safe and efficient.
- Minimal morbidity and high success rates support UAS use in pediatric patients.
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