Experience on semirigid ureteroscopy and pneumatic lithotripsy in children at a single center

Yücel, Selçuk; Akın, Yiğit; Kol, Arif; Danışman, Ahmet; Günteki̇n, Erol

doi:10.1007/s00345-010-0599-2

Cited by 20 publications

(14 citation statements)

References 15 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%

“…During URS, another operation may be required if ureteral engagement cannot be achieved due to any reason and the stone cannot be accessed. Further, 4.5% of the cases in the study by Geçit et al and 9.25% of those in the study by Yücel et al required an additional URS treatment (19,20). This rate was 38.9% in the present study.…”

Section: Discussionmentioning

confidence: 38%

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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“…Both ESWL and ureteroscopy had satisfactory curative effects in the treatment of pediatric ureteral stones [2,5,12]. Several authors have reported high success rates with ureteroscopy (80-100%) [13-15] or percutaneous management of urinary stones (79-88%) in children, with minimal morbidity [16,17]. Notwithstanding these reported good surgical outcomes, various surgically related concerns have to be considered.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of Extracorporeal Shock Wave Lithotripsy in Pediatric and Adolescent Urolithiasis

2013

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PurposeTo retrospectively evaluate the efficacy of extracorporeal shock wave lithotripsy (ESWL) by age and current condition as a first-line treatment for pediatric and adolescent urolithiasis.Materials and MethodsThe computerized records of 55 children were retrospectively reviewed from March 1991 to July 2007. The children were below 18 years of age and had undergone ESWL monotherapy for urolithiasis. There were 36 boys (65.5%) and 19 girls (34.5%), with a mean age of 8.5 years (range, 0.5-18 years). There were 24 patients aged 7 years or less and 31 patients aged more than 7 years.ResultsThe mean size of the stones was 9.48 mm (range, 4-22 mm). The overall success rate of ESWL was 90.9% (50 children). The mean number of ESWL sessions was 2.02 (range, 1-10). The mean number of ESWL sessions for the patient group aged 7 years or less was 1.16 (range, 1-2) and that for the patient group aged more than 7 years was 2.97 (range, 1-10; p=0.037). There was also a statistically significant difference in the mean number of ESWL sessions between the younger and older patients who needed general anesthesia (1.16 vs. 2.2 sessions, respectively; 0.042).ConclusionsIn the patient group aged 7 years or less, the number of ESWL sessions and the complication rate were comparable with those for endoscopic management. Thus, ESWL is an effective first-line treatment modality for patients aged less than 7 years.

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“…Manohar [8] detected a success rate of 84% for PL in the treatment of ureteral stones. Yücel et al [33] reported a success rate of 84.3% for PL applied for the ureteroscopic treatment of stone disease in pediatric cases Khaladkar [2] indicated a success rate of 79.2% in midureteral stones larger than 1.5 cm in diameter. Keshvari [34] and Abdel-Kader [35] reported a 100% success rate for PL in the endoscopic treatment of ureteral stones in pregnant women.…”

Section: Discussionmentioning

confidence: 99%

A comparison of efficacies of holmium YAG laser, and pneumatic lithotripsy in the endoscopic treatment of ureteral stones

Akdeniz

İrkılata

Demirel

et al. 2014

Turkish Journal of Urology

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Objective: We aimed to compare the effectiveness of holmium YAG laser and pneumatic lithotripsy in the treatment of ureteral stones. Material and methods:A total of 216 patients who had established indications of ureteroscopy between November 2011 and June 2012 were included in this study. Patients' files were retrospectively reviewed by dividing cases as groups that underwent pneumatic (PL) or laser lithotripsy (LL) procedures. Age, sex, stone burden and localization, duration of follow-up, operative times were evaluated. Stone-free rates were evaluated by ureteroscopical examination, postoperative scout films and ultrasonography.Results: Group PL consisted of 109 and group LL of 107 patients. Median age was 43.93±15.94 years in Group PL and 46.15±14.54 years in Group LL. Male to female ratio, stone burden and localization were similar for both groups. Overall success rate was 89.9% in Group PL and 87.9% in Group LL, respectively (p<0.791). With the aid of additional procedures, success rate was 100% for both groups at the end of the first month. Groups were not different as for operative time, rate of insertion of an ureteral catheter and its removal time. Hospitalization period was apparently somewhat shorter in Group LL (p= 0.00). Conclusion:Pneumatic lithotripsy can be as efficacious as laser lithotripsy and be used safely in the endoscopic management of ureteral stone. In comparison of both methods, we detected no differences as to operative time, success of operation and the time to removal of the catheter, however, hospitalization period was shorter in Group LL.

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Experience on semirigid ureteroscopy and pneumatic lithotripsy in children at a single center

Abstract: Ureteroscopic management of ureteral stones is safe and effective in children >1 year of age with a 7.5 Fr. semirigid ureteroscope and pneumatic lithotriptor.

Cited by 20 publications

References 15 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

Efficacy of Extracorporeal Shock Wave Lithotripsy in Pediatric and Adolescent Urolithiasis

A comparison of efficacies of holmium YAG laser, and pneumatic lithotripsy in the endoscopic treatment of ureteral stones

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