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Percutaneous stone removal in children
Insights
Percutaneous removal of kidney stones is effective in children. This minimally invasive procedure avoided repeat surgeries and nephrostomy tubes in all treated pediatric patients.
Area of Science:
- Pediatric Urology
- Nephrolithiasis Management
Background:
- Renal and ureteral calculi (kidney stones) treatment in children often presents challenges due to underlying metabolic or infectious causes.
- Pediatric stone disease may necessitate multiple surgical interventions over time.
Observation:
- Percutaneous stone removal, a successful adult procedure, was evaluated for pediatric patients.
- The study included 7 pediatric patients undergoing percutaneous stone removal.
Findings:
- Percutaneous removal of renal and ureteral calculi was successfully performed in all 7 pediatric patients.
- No patient required a secondary surgical procedure for stone removal.
- All patients were discharged without a nephrostomy tube.
Implications:
- Percutaneous stone removal offers a highly effective, single-stage treatment option for pediatric kidney stones.
- This approach minimizes the need for repeat surgeries and reduces patient morbidity associated with nephrostomy tubes.
- Minimally invasive percutaneous techniques represent a significant advancement in pediatric urolithiasis management.
Abstract:
Percutaneous removal of renal and ureteral calculi has become an established and successful procedure in adults. Stone disease in children often is metabolic or infectious in origin and multiple surgical procedures during a long interval may be required. Therefore, percutaneous stone removal could be particularly advantageous in these patients. We have performed percutaneous stone removal successfully in 7 children, none of whom required a second procedure or were discharged from the hospital with a nephrostomy tube.