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Ureterolithotripsy in children

R M Scarpa1, A De Lisa, D Porru

  • 1Dipartimento di Scienze Chirurgiche e Trapianti d'Organo, Scuola di Specializzazione in Urologia, Ospedale SS, Trinità, Università degli Studi di Cagliari, Italy.

Urology
|December 1, 1995
PubMed
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Pediatric ureteroscopy is safe and effective for treating ureteral stones in children under 10. Thin ureteroscopes and atraumatic energy sources enable successful ureterolithotripsy with no complications.

Area of Science:

  • Pediatric Urology
  • Endourology
  • Pediatric Nephrology

Background:

  • Pediatric ureteroscopy was limited by instrument size and concerns for ureteral/ureterovesical junction injury.
  • Thin and ultrathin ureteroscopes offer potential solutions for pediatric ureteral stone treatment.

Observation:

  • A review of 7 children under 10 years old (3.5-10 years) with ureteral stones treated between 1989-1994.
  • Procedures utilized 7 F rigid or 4.8 F semirigid ureteroscopes with pulsed dye laser or ballistic lithotripsy.
  • All patients received an indwelling double pigtail ureteral catheter post-procedure.

Findings:

  • Successful ureteroscopy and ureterolithotripsy in all 7 pediatric cases.
  • No early or delayed complications were observed.

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  • Subsequent follow-ups revealed no instances of vesicoureteral reflux.

    • Implications:

    • Ureteroscopy and ureterolithotripsy are feasible for treating ureteral stones in children under 10.
    • Due to ureteral fragility in pediatric patients, procedures require experienced endourologists and specialized centers.
    • This approach minimizes risks and ensures successful stone clearance in young patients.