Ureteric calculi in children: preliminary experience with holmium:YAG laser lithotripsy

Al-Busaidy, Salim Said; Prem, A.R.; Medhat, M.; Al-Bulushi, Younis H

doi:10.1111/j.1464-410x.2004.04864.x

Cited by 28 publications

(10 citation statements)

References 35 publications

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“…So with the introduction of fiberoptics and the development of the endoscopic technique, Ho:YAG laser therapy has been applying to pediatric surgery more and more wildly. It is reported [11][12][13][14][15][16][17] that Ho:YAG laser incision technology has been used to treat the following diseases with ideal results: pediatric urinary tract calculi, ureteropelvic junction (UPJ) stenosis, ectopic and orthotopic ureteroceles and so on. For its safety, microinvasion, and great effect, Ho:YAG laser turns to be a powerful instrument for urology and pediatric surgery with a wide application prospect.…”

Section: Discussionmentioning

confidence: 99%

Application of endoscopic Ho:YAG laser incision technique treating urethral strictures and urethral atresias in pediatric patients

et al. 2006

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Endoscopic holmium:yttrium-aluminum-garnet (Ho:YAG) laser incision is a new method applied in pediatric urology recent years. To evaluate its therapeutic efficacy on treating the pediatric patients with urethral strictures and urethral atresias, a retrospective study was performed from June 2001 to July 2005 in a total of 28 pediatric patients who underwent endoscopic internal urethrotomy using Ho:YAG laser in our center. In these patients, 25 had urethral strictures and 3 urethral atresias. Follow-up was done ranging from 2 months to 4 years to assess the treatment. Of the 28 patients, 25 (89.3%) have achieved satisfied result without complications following initial incisions. Two patients with urethral atresias and another with long lesion of stricture (> 2 cm) have postoperative stenosis (10.7%). Among the three reoccurred patients, two were successfully reoperated by Ho:YAG laser and open end-to-end anastomosis, respectively. One patient failed to follow-up. With the advantages of safety, efficacy and minimal invasion, endoscopic Ho:YAG laser incision technique could be used as a primary treatment in urethral stricture patients and is worthy to be popularized further in pediatric surgery.

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Section: Discussionmentioning

confidence: 99%

Application of endoscopic Ho:YAG laser incision technique treating urethral strictures and urethral atresias in pediatric patients

et al. 2006

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“…The advantages of the holmium laser are small fiber size; the ability to fragment stones with any composition effectively; and the pulsed nature of the laser, which can limit possible damage to the ureteral wall. Success rates in the literature using this modality as initial treatment range from 77% to 100%, with our success rate at 88% [16,17]. Lower pole stones have historically been difficult to treat because limited deflection of the flexible ureteroscope did not allow easy access to the lower calices.…”

Section: Discussionmentioning

confidence: 92%

Retrograde intrarenal surgery in infants and preschool-age children

Ünsal¹,

Reşorlu²

2011

Journal of Pediatric Surgery

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“…The overall stone-free rate was 92%. One ureteral perforation occurred in a technically difficult procedure due to high laser energy [8].…”

Section: Discussionmentioning

confidence: 99%

Experience with ureteroscopic holmium laser lithotripsy in children

et al. 2008

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The purpose of the study was to evaluate the outcome of ureteroscopic holmium laser lithotripsy (UHLL) in children, taking into consideration different stone locations. Records of 15 children with ureteral calculi managed with UHLL were reviewed. All patients were evaluated with history, clinical, radiological and laboratory assessment prior to treatment. All patients were managed on an outpatient basis. After stone disintegration, if sizable fragments remained, they were retrieved using grasping forceps or stone basket extraction. Patient records were reviewed for age, sex, stone laterality, location, number and size, need for ureteral dilation, stenting and residual fragment extraction. Of the 15 children, 11 were female and 4 were male. Mean age was 8.5 years (age range 2-15 years). There was no significant difference in stone laterality (eight left and seven right ureteral stones). Main presenting symptoms were renal colic, hematuria and urinary tract infection or a combination of these symptoms. The 15 children harbored 15 ureteral stones (range 5-11 mm, mean 7.8 mm) and underwent 15 UHLL procedures. Ureteral dilation was performed in 14 patients using balloon dilators. Stone retrieval was done in all patients. DJ stents were placed at the conclusion of the procedure in 11 patients. Complete stone clearance was achieved at the end of the procedure in all patients (success rate 100%). No complications were encountered during or after the procedure. This study confirms the effectiveness and safety of ureteroscopy and holmium laser in the treatment of ureteral stones in children regardless of stone location.

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Ureteric calculi in children: preliminary experience with holmium:YAG laser lithotripsy

Cited by 28 publications

References 35 publications

Application of endoscopic Ho:YAG laser incision technique treating urethral strictures and urethral atresias in pediatric patients

Application of endoscopic Ho:YAG laser incision technique treating urethral strictures and urethral atresias in pediatric patients

Retrograde intrarenal surgery in infants and preschool-age children

Experience with ureteroscopic holmium laser lithotripsy in children

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