Recent Advances in the Evaluation, Medical, and Surgical Management of Pediatric Nephrolithiasis

Ellison, Jonathan S.; Yonekawa, Karyn

doi:10.1007/s40124-018-0176-5

Cited by 5 publications

(4 citation statements)

References 106 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The role of PCNL has also expanded for both adult and paediatric stone disease [26][27][28][29][30]. Saad et al reported on their randomised trial of URS versus PCNL in 38 children under 16 years old with large renal stones (> 2 cm) [31].…”

Section: Role Of Swl and Pcnlmentioning

confidence: 99%

Outcomes of ureteroscopy (URS) for stone disease in the paediatric population: results of over 100 URS procedures from a UK tertiary centre

et al. 2019

View full text Add to dashboard Cite

Purpose To report the outcomes of paediatric ureteroscopy (URS) for stone disease from a specialist endourology centre in the UK. Ureteroscopy for management of stone disease has increased worldwide and is now being done more commonly in the paediatric age group. Methods Data were analysed retrospectively from a database maintained between April 2010 and May 2018. Consecutive patients ≤ 16 years of age undergoing semi-rigid or flexible URS for stone disease were included. Stone size and stone-free rate (SFR) were routinely assessed using an ultrasound (USS) and/or plain KUB XR. Complications were graded according to the Clavien-Dindo classification and recorded within 30 days post-procedure and readmissions within 90 days after the procedure were also captured. Results Over the 8-year period between April 2010 and April 2018, 81 patients with a mean age of 8.8 years (range 18 months-16 years) and a male to female ratio 1:1.1 underwent 102 procedures (1.28 procedure/patient to be stone free). Of the 81 patients, 29 (35.8%) had comorbidities, with 26 (32%) having multiple comorbidities. The mean (± SEM) single and overall stone size was 9.2 mm (± 0.48, range 3-30 mm) and 11.5 mm (± 0.74, range 4-46 mm) respectively, with 22 (27.1%) having multiple stones. Thirty-five (34.7%) had stent in situ pre-operatively. The stone location was in the ureter (26.6%), lower pole (35.4%), and renal pelvis (16.5%), with 22/81(27%) having multiple stones and 21/102 (20.5%) where a ureteral access sheath (UAS) was used. With a mean hospital stay of 1.2 days, the initial and final SFR was 73% and 99%, respectively, and 61/102 (60%) had ureteric stent placed at the end of the procedure. While there were no intra-operative complications, the readmission rate was less than 1% and there were only three early complications recorded. This included a case each of prolonged admission for pain control (grade I), urinary retention (grade II) and post-operative sepsis requiring a brief ITU admission (grade IV). Conclusion Our study demonstrates that in appropriate setting a high stone-free rate can be achieved with minimal morbidity for paediatric patients. There is potentially a need to factor the increasing role of URS in future paediatric urolithiasis guidelines.

show abstract

Section: Role Of Swl and Pcnlmentioning

confidence: 99%

Outcomes of ureteroscopy (URS) for stone disease in the paediatric population: results of over 100 URS procedures from a UK tertiary centre

et al. 2019

View full text Add to dashboard Cite

show abstract

“…182,183 Diagnostic imaging Due to concerns regarding radiation exposure in children, ultrasonography is used more commonly than in adults, as the first-line diagnostic modality when renal colic is suspected. [184][185][186] However, similar to adults, there are sensitivity issues with US; in particular for mid-ureteral calculi. 187 The addition of conventional radiography (KUB x-ray) can improve diagnostic accuracy, 188,189 but as in adults, NCCT has the highest sensitivity and specificity.…”

Section: Ureteral Stones In Childrenmentioning

confidence: 99%

Canadian Urological Association guideline: Management of ureteral calculi

Lee¹,

Andonian²,

Bhojani³

et al. 2021

CUAJ

View full text Add to dashboard Cite

show abstract

“…Among them, the Swiss LithoClast Trilogy™ and Pneumatic Swiss LithoClast have attracted attention for their potential influence on stone-free rates and procedural safety. However, discrepancies in equipment functionality may occur, primarily when used in different clinical environments, such as regions with a high incidence of kidney stones, sometimes referred to as stone belt countries [ 8 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

Comparison of Swiss LithoClast Trilogy™ and Pneumatic Swiss LithoClast™ in Mini-Percutaneous Nephrolithotomy in Terms of Stone Free Rate and Complications: A Single-Center Experience From a Stone Belt Country

Farooq,

Hameed,

Ullah

et al. 2024

Cureus

View full text Add to dashboard Cite

BackgroundRenal calculi therapy has advanced significantly in recent years, with mini-percutaneous nephrolithotomy (PCNL) emerging as a minimally invasive treatment modality. Mini-PCNL has been subjected to several modifications to achieve the best possible outcomes and reduce morbidity. This study aimed to compare the efficacy and safety of Swiss LithoClast Trilogy™ and pneumatic Swiss LithoClast™ in managing renal stones with mini-PCNL.

show abstract

Recent Advances in the Evaluation, Medical, and Surgical Management of Pediatric Nephrolithiasis

Cited by 5 publications

References 106 publications

Outcomes of ureteroscopy (URS) for stone disease in the paediatric population: results of over 100 URS procedures from a UK tertiary centre

Outcomes of ureteroscopy (URS) for stone disease in the paediatric population: results of over 100 URS procedures from a UK tertiary centre

Canadian Urological Association guideline: Management of ureteral calculi

Comparison of Swiss LithoClast Trilogy™ and Pneumatic Swiss LithoClast™ in Mini-Percutaneous Nephrolithotomy in Terms of Stone Free Rate and Complications: A Single-Center Experience From a Stone Belt Country

Contact Info

Product

Resources

About