Transurethral Holmium Laser Cystolithotripsy in Children: Single Center Experience

Aboulela, Waseem; ElSheemy, Mohammed S.; Shoukry, A; Shouman, Ahmed; ElShenoufy, Ahmed; Daw, Kareem; Morsi, Hany A.; Badawy, Hesham

doi:10.1089/end.2014.0636

Cited by 11 publications

(14 citation statements)

References 26 publications

(29 reference statements)

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“…Voiding dysfunctions, foreign bodies, urethral strictures, PUV and vesicoureteral reflux predispose children to vesicolithiasis. 11 Lal et al reported that the incidence of vesical stone in children is slowly declining. This is predominantly due to nutritional improvement, better pre-and postnatal care and improvement of the people's awareness in the endemic areas.…”

Section: Discussionmentioning

confidence: 99%

“…13 Development in pediatric ureteroscopes and cystoscopes and presentation of Ho:YAG laser, causes a steady shift to TULL in children's bladder stone management. 11 Several studies have mentioned the advantages of Ho:YAG laser lithotripsy for managing vesical lithiasis, in comparison with other choices. 10 Traditionally, open surgery was the choice of treatment for large bladder stone (>4 cm).…”

Section: Discussionmentioning

confidence: 99%

“…However, some studies revealed that the use Ho:YAG laser was successful in managing the stones with mean diameter of 5.5-6 cm. 14,15 Several studies compared 2 types of bladder stone surgical managements in children 7,11,16 but just one study (based on our search) compared 3 modalities of surgery. 13 In this research we investigated three types of surgical managements with an appropriate sample size.…”

Section: Discussionmentioning

confidence: 99%

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Surgical Management of Vesical Stones in Children: A Comparison Between Open Cystolithotomy, Percutaneous Cystolithotomy and Transurethral Cystolithotripsy With Holmium-YAG Laser

et al. 2018

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Introduction: Bladder stone is more common in developing countries and it is one of the rare diseases affecting children. In recent years, there is an increasing tendency in urologists to have minimal invasive approaches. The aim of this study was to compare the results of surgical bladder stone management in our single tertiary center. Methods: From 159 children younger than 18 years with vesical stones treated during January 2000 to January 2015 in Shohada-e-Tajrish hospital, Tehran, Iran, 146 subjects entered to the study. According to type of intervention, patients stratified to three groups. First group included 80 patients that open cystolithotomy (OCL) was done for them, second group was 39 patients who underwent percutaneous cystolithotomy (PCCL) and third group was 27 patients who treated by transurethral cystolithotripsy with holmium-YAG laser (TULL). Demographic data, hospital stay, operation time, and post operation complications were recorded and comparison were drawn between the three groups. Results: Mean age was 8.3 ± 5.1 years (8.6 ± 5.1, 6 ± 4.2 years for boys and girls, respectively). Mean stone size (MSS) was 2.76 ± 1.07 cm and no significant differences were found between the three groups but it was larger in OCL group. Mean operative time (MOT) was 29.15 ± 7.12 minutes in separate; MOT in TULL was significantly higher than PCCL and OCL respectively (36.3 ± 5.97, 30.54 ± 5.27 and 26.06 ± 6.32 minutes/P = 0.000). Mean hospital stay (MHS) in OCL group was 3.55 ± 1 days that was higher than PCCL and TULL groups significantly (P = 0.000). Conclusion: Based on our study, holmium:YAG lithotripsy has a high success rate, and is a minimally invasive management, therefore it is a safe method for children bladder calculi treatment if proper equipment was available and done by expert hands.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Surgical Management of Vesical Stones in Children: A Comparison Between Open Cystolithotomy, Percutaneous Cystolithotomy and Transurethral Cystolithotripsy With Holmium-YAG Laser

et al. 2018

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“…Ho:YAG laser lithotripsy is an efficient and safe technology for the treatment of urinary stones in almost any patient group, ranging from young children to adults and older patients, pregnant women to spinal cord injury patients, from solitary to allograft kidneys, or patients on certain medications and anticoagulants. Its safety profile has been largely demonstrated and still is in countless and recent safety-oriented studies [ 87 •, 88 •, 89 , 90 •, 91 – 98 , 99 •, 100 , 101 •]. Yet there are still some direct and indirect complications and safety concerns about laser lithotripsy, which have been recently researched.…”

Section: Bibliographic Search Resultsmentioning

confidence: 99%

Advances in Lasers for the Treatment of Stones—a Systematic Review

2018

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Purpose of ReviewLaser lithotripsy is increasingly used worldwide and is a continuously evolving field with new and extensive research being published every year.Recent FindingsVariable pulse length Ho:YAG lithotripters allow new lithotripsy parameters to be manipulated, and there is an effort to integrate new technologies into lithotripters. Pulsed thulium lasers seem to be a viable alternative to holmium lasers. The performance of similar laser fibers varies from manufacturer to manufacturer. Special laser fibers and “cleaving only” fiber tip preparation can be beneficial for the lithotripsy procedure. Different laser settings and the surgical technique employed can have significant impact on the success of laser lithotripsy. When safely done, complications of laser lithotripsy are rare and concern the endoscopic nature of procedure, not the technology itself, making laser lithotripsy one of the safest tools in urology.SummaryLaser lithotripsy has had several new developments and more insight has been gained in recent years with many more advances expected in the future.

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“…Çocuklarda transüretral holmium lazer litotripsi yapılan ve < 4 cm mesane taşı olan 33 çocuk hastanın dahil edildiği bir çalışmada çocukların tamamında ortalama 31 dakika sürede taşsızlık sağlanmış ve hiçbir hastada üreteral darlık veya rekürren taş gözlenmemiştir (16). Çocuklarda mesane taşlarında pnömotik litotripsi ve holmium lazer litotripsinin karşılaştırıldığı bir çalışmada 13 hastaya pnömotik, 12 hastaya ise holmium lazer litotripsi uygulanmıştır.…”

Section: Pediatrik Taş Hastalarında Lazer Litotripsiunclassified

Çocuk Ürolojisi'nde Lazer Kullanımı

Günaydın¹,

Sılay²

2017

Endouroloji

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Transurethral Holmium Laser Cystolithotripsy in Children: Single Center Experience

Abstract: Ho:YAG laser CL is a safe and successful minimally invasive treatment option for bladder stones in children. Success rate was 100% without development of any complications or recurrence.

Cited by 11 publications

References 26 publications

Surgical Management of Vesical Stones in Children: A Comparison Between Open Cystolithotomy, Percutaneous Cystolithotomy and Transurethral Cystolithotripsy With Holmium-YAG Laser

Surgical Management of Vesical Stones in Children: A Comparison Between Open Cystolithotomy, Percutaneous Cystolithotomy and Transurethral Cystolithotripsy With Holmium-YAG Laser

Advances in Lasers for the Treatment of Stones—a Systematic Review

Çocuk Ürolojisi'nde Lazer Kullanımı

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