Proximal ureteral access for symptomatic stone removal using ultrathin semirigid ureterorenoscope in preschool-age children: Is it possible? Acceso ureteral proximal para la eliminación de cálculos sintomáticos mediante ureterorrenoscopio semirrígido ultrafino en niños en edad preescolar: ¿es posible?

DOĞAN A. B., Uğur Özkan K., Gökhan Güler A.

Actas Urologicas Espanolas, cilt.45, ss.461-465, 2021 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 45
  • Basım Tarihi: 2021
  • Doi Numarası: 10.1016/j.acuro.2020.05.010
  • Dergi Adı: Actas Urologicas Espanolas
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE, Gender Studies Database, MEDLINE, DIALNET
  • Sayfa Sayıları: ss.461-465
  • Anahtar Kelimeler: Proximal ureteral stone, Preschool age children, Ultrathin semirigid ureteroscope, Urinary obstruction, SHOCK-WAVE LITHOTRIPSY, URETEROSCOPY, MANAGEMENT
  • Erciyes Üniversitesi Adresli: Evet

Özet

© 2021 AEUIntroduction and objectives: We aimed to point out the ureteral access facility and obstruction removal efficiency of mini-URS in the use of proximal ureteral stone management in children under five-year-old. Patients: We retrospectively reviewed the data of 26 children who underwent mini-URS-LL for obstructive stones in proximal ureter between January 2016 and August 2018. The effectiveness of the mini-URS-LL was assessed based on the feasibility, reliability, and success of the technique. Results: Mean age was 3 ± 1.3 years, and 11 (42.3%) patients were ≤ 2 years old, remaining 15 (57.7%) were aged 3-5 years. Mean stone size was 9.11 ± 3.02 mm. A stone-free status was obtained at the end of 31 ureteroscopic procedure in 24 (92.3%) patients. The mean age was found significantly higher in patients who had the procedure without pre-stenting than the others who did (P =.027). No perioperative complication was experienced. Conclusion: In preschool-age children, laser lithotripsy with mini-URS may be a safe technique in the hands with advanced endo-urological skills but it has low efficacy with higher rates of prestenting causing additional anesthesia sessions.