Effectiveness of 4.5 F semirigid ureteroscope (Mini-URS) in the management of ureteral stones in children younger than 3 years of age

Sancaktutar, Ahmet Ali; Atar, Murat; Söylemez, Haluk; Bozkurt, Yaşar; Penbegül, Necmettin; Boydakçi, Mehmet Nuri; Gümüş, Hatice

doi:10.5152/tud.2011.065

Cited by 11 publications

(5 citation statements)

References 19 publications

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“…URS-related minor complication rates were reported as between 9.7% and 18.6% (12,15,18,20). Minor complications such as minimal hemorrhage and high fever (>38.5°C) were observed in 16.6% of the cases in the present study.…”

Section: Discussionsupporting

confidence: 44%

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Effectiveness of Holmium Laser Therapy Together with 7Fr Ureterorenoscopy in Preschool Children

Yücel¹,

Çift²,

Benlioğlu³

2018

Med J Islamic World Acad Sci

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This study aimed to evaluate the success of semi-rigid (7-Fr) ureterorenoscope in treating ureteral stones in preschool children (aged 0-6 years). A total of 36 patients who underwent endoscopic ureteral stone treatment in the clinic were retrospectively evaluated between January 2012 and February 2018. During the procedure, a 7-Fr semi-rigid ureterorenoscope holmium: YAG laser as lithotripter were used. The stone-free rates of the patients were evaluated visually during fragmentation and 1 month later using urinary ultrasonography. The mean age of the patients was 37.5 months; 55.6% were male, and 44.4% were female. Stone localization was 58.3% in the distal ureter, 16.7% in the middle ureter, and 25% in the proximal ureter. After the first ureterorenoscopy procedure, the stone-free rate was 58.3%. During the first ureterorenoscopy procedure, 38.9% patients were admitted with a double J stent, which could not reach intraoperative stones. After 1 month, second-session ureterorenoscopy was performed. During the first ureterorenoscopy procedure, ureteral perforation developed in 2.8% of the patients. Ureterolithotomy was performed with open surgery. After the first and second ureterorenoscopy procedures, the stone-free rate was 97.2%. Slight bleeding in two patients and high fever (>38.5°C) in four patients was observed in the early postoperative period. The mean hospital stay was 2.3 days. Endoscopic ureteral stone treatment with 7-Fr ureterorenoscopy can be safely performed with high success and low complication rates even in very young children.

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Section: Discussionsupporting

confidence: 44%

“…Although the widespread use of active or passive ureteral dilatation was preferred in the first years of URS, recent studies have shown that routine ureteral dilatation is not necessary (15,17,18). Hence, routine ureteral dilatation was not conducted in the present study.…”

Section: Discussionmentioning

confidence: 94%

Effectiveness of Holmium Laser Therapy Together with 7Fr Ureterorenoscopy in Preschool Children

Yücel¹,

Çift²,

Benlioğlu³

2018

Med J Islamic World Acad Sci

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“…Ayrıca Sancaktutar ve ark. çocuklar üzerinde Mini-URS'nin (Ultra thin 4.5F) etkinliğini göstermişler, burada standart URS çapının 8F olduğunu bildirmişlerdir [15]. Bizde tüm hastalarımızda 6.5F (thin-ince) URS kullandık.…”

Section: Bulgularunclassified

Ureteroscopy and Laser Lithotripsy for Treatment of Ureteral Stones in Pregnants: Single Center Experience

İstanbulluoğlu¹,

Alptekın²,

Işık³

et al. 2016

Dicle Med J

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Objective: To report our ureteroscopic laser lithotripsy experiences in the treatment of symptomatic ureter stones in pregnants which do not respond to conservative treatment Methods: A total of 6 pregnants aged between 22-33 years in second or third trimester were studied. Holmium-YAG laser lithotripsy was performed with 6.5 F semirigid uretroscope. Results:The diagnosis of ureter stone was made with abdominal ultrasonography in 5 patients and with magnetic resonance in one patient. Adequate stone fragmentation was performed in 2 mid-ureter and 4 distal-ureter stones. J stent was applied in one patient after the fragmentation process. The mean operation time was 24.8 ± 10.0 minutes after the entry of bladder with ureteroscope under spinal anesthesia. No urologic, anesthetic or obstetric complication was seen and all patients gave healthy birth at term. Conclusion:Fine calibrated ureteroscopes for the treatment of ureter stones in pregnants are fast and effective treatment modalities which decrease the operation time and remove difficulties in entering the ureter.

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“…Özellikle son yıllarda daha küçük boyutlarda endoskopların kullanılabilir hale gelmesi, hatta bükülebilir endoskopların ve lazer teknolojisi ile birlikte kullanımı başarı oranlarını oldukça artırmıştır (90). 4,5 F semirijit üreteroskopun çok küçük yaştaki hastalarda bile üreter tasları için düşük komplikasyon oranı, hızlı üreteral angajman, kısa operasyon süresi sağladığını göstermişlerdir (91). Açık cerrahi, daha çok eşlik eden anatomik anormallikleri (üreteropelvik darlık, obstrüktif megaüreter) olan hastalarda tercih edilmektedir (87,92).…”

Section: Cerrahi Tedaviunclassified

Çocuklarda Üri̇ner Si̇stem Taş Hastaliği: Tani Ve Tedavi̇ / Urinary System Stone Disease in Children: Diagnosis and Treatment

Cetın

Sav²,

Yıldız³

2015

Osmangazi̇ Journal of Medicine

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ÖZET: Üriner sistem taş hastalığı son yıllarda prevelansı artış gösteren önemli bir hastalıktır. Çocuklarda yüksek tekrarlama oranı nedeni ile son dönem böbrek hastalığına sebep olduğundan önemli bir morbidite nedenidir. Üriner sistem taş hastalığı Türk çocuklarında kronik böbrek hastalığının altında yatan sebeplerin %8'ini oluşturmaktadır. Metabolik ve genitoüriner sisteme ait anormallikler çocuklarda üriner sistem taşlarının oluşmasına yatkınlık yaratabilir. Metabolik bir risk faktörü saptama oranı, çocuklarda üriner sistem taşı olan yetişkinlerden daha yüksektir. Diyet, çevresel faktörler ve idrar yolu enfeksiyonları üriner sistem taşlarının oluşmasında rol oynayabilir. Tekrarlama özelliği nedeni ile metabolik faktörlerin taşı olan bütün çocuklarda araştırılması gereklidir. Erken tedavi ve risk faktörlerinin saptanması morbiditeyi azaltmada oldukça önemlidir. Böbrek taşı olan çocuklarda üriner sistem taş hastalığının tedavi amacı, böbrek fonksiyonlarını korumak için taşın ortadan kaldırılmasını, nükslerin engellenmesini ve metabolik problemlerin düzeltilmesini kapsamaktadır. Uygun tedavi taşın boyutuna, yerleşimine ve tipine, anatomik anormalliklerin varlığına göre seçilir. Medikal tedavi, yeni taşların oluşumunu ve mevcut taşların büyümesini önleyerek morbiditeyi azaltmaktadır. ANAHTAR KELİMELER: Üriner sistem taşı, çocukluk çağı, tanı, tedavi.ABSTRACT: Urinary system stone disease is a disease that there is a increase in the prevalence of the disease in recent years. This disease is an important cause of morbidity because it causes end stage renal disease due to high recurrence rate. Urinary system stone disease is the cause of 8% of the underlying etiological factors for development of chronic kidney disease in Turkish children. Metabolic and genitourinary anomalies can predispose to develop urinary system stones in children. The detection rate of metabolic risk factor is higher in children than adults with urinary system stone. Diet, environmental factors and urinary tract infections may play a role in the formation of urinary system stones. Because of its recurrent nature, the metabolic abnormalities should be investigated in all of the children with urinary system stone. Early treatment and determination of the risk factors are very important to reduce morbidity. The aim of treatment of pediatric urinary system stone disease includes eliminating the stone and preventing recurrence and the correction of metabolic problems for protection kidney functions. The appropriate treatment depends on the size, location and type of stone; the presence of anatomical abnormalities. Medical therapy reduces morbidity by preventing the growth of stone and the formation of new stones.

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Effectiveness of 4.5 F semirigid ureteroscope (Mini-URS) in the management of ureteral stones in children younger than 3 years of age

Cited by 11 publications

References 19 publications

Effectiveness of Holmium Laser Therapy Together with 7Fr Ureterorenoscopy in Preschool Children

Effectiveness of Holmium Laser Therapy Together with 7Fr Ureterorenoscopy in Preschool Children

Ureteroscopy and Laser Lithotripsy for Treatment of Ureteral Stones in Pregnants: Single Center Experience

Çocuklarda Üri̇ner Si̇stem Taş Hastaliği: Tani Ve Tedavi̇ / Urinary System Stone Disease in Children: Diagnosis and Treatment

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