Should Flexible Ureterorenoscopy be the First-line Treatment Option for Renal Calculi?

Zafer Türkyılmaz, Kaan Sönmez, Ramazan Karabulut, Fazli Polat, Süleyman Yeşil, Sibel Eryilmaz, Vokhid Tairov, Abdullah Can Başaklar

Abstract


While first-line treatment option for pediatric renal calculi, 1.5-2 cm in size, was open surgery in the past, percutaneous nephrolithotomy (PNL) is now the first-line treatment option in accordance with EUA pediatric guidelines. However, mini rigid ureterorenoscopy (URS) and the laser props of flexible URS have started to be used in the removal of these calculi. The present study aimed at conveying our experience in using flexible URS and laser on the removal of right renal calculus, 16 mm in size, in a 1-year-old male pediatric patient.  


Keywords


Flexible ureterorenoscopy, laser lithotripter, renal calculi, children

References


Urinary Stone Disease. Tekgul S, Dogan HS, Hoebeke P, et al.European Association of Paediatric Urology Guidelines, 2016 Edition, 58-65.

Dogan HS, Onal B, Satar N, et al. Factors affecting complication rates of ureteroscopiclithotripsy in children: results of multi-institutional retrospective analysis by Pediatric Stone Disease Study Group of Turkish Pediatric Urology Society. J Urol 2011;186:1035-40.

Unsal A, Resorlu B. Retrograde intrarenal surgery in infants and preschool-age children. J PediatrSurg 2011;46:2195-9.

Dave S, Khoury AE, Braga L, et al. Single-institutional study on role of ureteroscopy and retrograde intrarenal surgery in treatment of pediatric renal calculi. Urology 2008;72:1018-21.

Unsal A, Resorlu B, Kara C, et al. Safety and efficacy of percutaneous nephrolithotomy in infants, preschool age, and older children with different size of instruments. Urology 2010;76:247-53.

Çıtamak B, Altan M, Bozacı AC, et al. Percutaneous Nephrolithotomy in Children: 17 Years of Experience. J Urol2016;195(4P1):1082-7.

Saad KS, Youssif ME, Al Islam NafisHamdy S, et al. Percutaneous Nephrolithotomy vs Retrograde Intrarenal Surgery forLarge Renal Stones in Pediatric Patients: A Randomized Controlled Trial. J Urol 2015;194:1716-20.

Daw K, Shouman AM, Elsheemy MS, et al. Outcome of Mini-percutaneous nephrolithotomy for Renal Stones in Infants and Preschool Children: A Prospective Study. Urology 2015;86:1019-26.

Zhang W, Zhou T, Wu T, et al. Retrograde Intrarenal Surgery Versus Percutaneous Nephrolithotomy Versus Extracorporeal Shockwave Lithotripsy for Treatment of Lower Pole Renal Stones: A Meta-Analysis and Systematic Review. J Endourol 2015; 29:745-59.

Erkurt B, Caskurlu T, Atis G, et al. Treatment of renal stones with flexible ureteroscopy in preschool age children. Urolithiasis 2014;42: 241-5.


Full Text: PDF

Creative Commons License
This work is licensed under a Creative Commons Attribution 3.0 License.