Results of retrograde infrarenal surgery in the treatment of renal stones in children: Single-center experience: Çocukluk çağı böbrek taşı tedavisinde retrograd intrarenal cerrahinin sonuçları: Tek merkez deneyimi

Haluk Şen; Ömer Bayrak; Sakıp Erturhan; Elzem Şen; İlker Seçkiner

doi:10.5152/eurjther.2017.05060

Authors

Haluk Şen Gaziantep Üniversitesi Tıp Fakültesi, Üroloji Anabilim Dalı, Gaziantep
Ömer Bayrak Gaziantep Üniversitesi Tıp Fakültesi, Üroloji Anabilim Dalı, Gaziantep
Sakıp Erturhan Gaziantep Üniversitesi Tıp Fakültesi, Üroloji Anabilim Dalı, Gaziantep
Elzem Şen Gaziantep Üniversitesi Tıp Fakültesi, Anesteziyoloji ve Reanimasyon Anabilim Dalı, Gaziantep
İlker Seçkiner Gaziantep Üniversitesi Tıp Fakültesi, Üroloji Anabilim Dalı, Gaziantep

DOI:

https://doi.org/10.5152/eurjther.2017.05060

Keywords:

Retrograde intrarenal surgery, nephrolithiasis, pediatric

Abstract

Objective: We aimed to investigate the efficacy and safety of retrograde intrarenal surgery (RIRS) in the treatment of pediatric nephrolithiasis.
Methods: Data on 23 pediatric patients with renal stones were collected. After the procedure, while patients with opaque urinary stones were evaluated by a plain abdominal X-ray scan of the kidneys, ureters, and bladder as the imaging method, those with non-opaque urinary stones were evaluated by computed tomography.
Results: The average age of the patients was 10.9±3 (range, 5-15) years, and the average stone size was 13.7±3.5 mm. Before the procedure, hydronephrosis was assessed as absent or minimal and moderate or severe. It was found to be 69.5% and 30.4%, respectively. The mean fluoroscopy time was 39.9±15.3 s. The length of hospital stay was 2.2±0.4 days. The stone-free rate was 82.6% (19/23).
Conclusion: With technological advances in minimally invasive methods such as RIRC in recent years, we believe that it is an effective and safe method for children, in particular.

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