TY - JOUR
T1 - Ureteroscopy for treatment of upper urinary tract stones in children
T2 - Technical considerations
AU - Gupta, Natasha
AU - Ko, Joan
AU - Matlaga, Brian R.
AU - Wang, Ming Hsien
PY - 2014/5
Y1 - 2014/5
N2 - The incidence of pediatric urolithiasis is increasing. While many smaller stones may pass spontaneously, surgical therapy is sometimes warranted. Surgical options include shock wave lithotripsy, ureteroscopy, percutaneous nephrolithotomy, and open surgery. Ureteroscopy represents a minimally invasive approach, and it is increasingly being used to treat pediatric upper tract calculi. Ureteroscopy is performed under anesthesia and fluoroscopic guidance, with basket extraction or lithotripsy of the calculi. Technical considerations include active or passive ureteral dilatation, the use of ureteral access sheaths for larger stone burdens, and post-operative stent placement. The current pediatric literature suggests high success rates (equal to or surpassing shock wave lithotripsy) and low complication rates. However, concerns remain regarding feasibility in patients with variant anatomies and risk due to intra-operative radiation exposure.
AB - The incidence of pediatric urolithiasis is increasing. While many smaller stones may pass spontaneously, surgical therapy is sometimes warranted. Surgical options include shock wave lithotripsy, ureteroscopy, percutaneous nephrolithotomy, and open surgery. Ureteroscopy represents a minimally invasive approach, and it is increasingly being used to treat pediatric upper tract calculi. Ureteroscopy is performed under anesthesia and fluoroscopic guidance, with basket extraction or lithotripsy of the calculi. Technical considerations include active or passive ureteral dilatation, the use of ureteral access sheaths for larger stone burdens, and post-operative stent placement. The current pediatric literature suggests high success rates (equal to or surpassing shock wave lithotripsy) and low complication rates. However, concerns remain regarding feasibility in patients with variant anatomies and risk due to intra-operative radiation exposure.
KW - Kidney calculi/surgery
KW - Minimally invasive/methods
KW - Surgical procedures
KW - Treatment outcome
KW - Ureteroscopes
KW - Ureteroscopy/methods
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U2 - 10.1007/s11934-014-0407-4
DO - 10.1007/s11934-014-0407-4
M3 - Review article
C2 - 24658833
AN - SCOPUS:84896408960
SN - 1527-2737
VL - 15
JO - Current urology reports
JF - Current urology reports
IS - 5
M1 - 407
ER -