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Treatment of renal stones with flexible ureteroscopy in preschool age children

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Date

2014

Author

Erkurt, Bülent
Çaşkurlu, Turhan
Atış, Gökhan
Gürbüz, Cenk
Arıkan, Özgür
Pelit, Eyüp Sabri
Altay, Bülent
Erdoğan, Fırat
Yıldırım, Asif

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Erkurt, B., Çaşkurlu, T., Atış, G., Gürbüz, C., Arıkan, Ö., Pelit, E. S. ... Yıldırım, A. (2014). Treatment of renal stones with flexible ureteroscopy in preschool age children. Urolithiasis, 42(3), 241-245. https://dx.doi.org/10.1007/s00240-013-0636-x

Abstract

The aim of the study is to evaluate the efficacy and safety of retrograde intrarenal surgery (RIRS) to treat renal stones in preschool age (< 7 years) children. From September 2005 to May 2013, a total of 65 children (31 boys and 34 girls) with 72 renal stones were treated using RIRS. Patients were considered stone-free when the absence of residual fragments was observed on imaging studies. In the presence of residual calculi > 4 mm, a second-stage RIRS was performed. The pre-operative, operative and post-operative data of the patients were retrospectively analyzed. A total of 65 patients with a mean age of 4.31 +/- A 1.99 years (6 months-7 years) were included in the present study. The mean stone size was 14.66 +/- A 6.12 mm (7-30 mm). The mean operative time was 46.47 +/- A 18.27 min. In 5 (7.69 %) patients, the initial procedure failed to reach the renal collecting system and ended with the insertion of a pigtail stent. The stone-free rates were 83.07 and 92.3 % after the first and second procedures, respectively. Complications were observed in 18 (27.7 %) patients and classified according to the Clavien system. Post-operative hematuria (Clavien I) occurred in 6 (9.2 %) patients, post-operative urinary tract infection with fever (Clavien II) was observed in 10 (15.4 %) patients, and ureteral wall injury (Clavien III) was noted in 2 (3 %) patients. RIRS is an effective and safe procedure that can be used to manage renal stones in preschool age children.

WoS Q Kategorisi

Q2

xmlui.dri2xhtml.METS-1.0.item-scopusquality

Q2

Source

Urolithiasis

Volume

42

Issue

3

URI

https://dx.doi.org/10.1007/s00240-013-0636-x
https://hdl.handle.net/20.500.12511/4044

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  • Scopus İndeksli Yayınlar Koleksiyonu [5133]
  • WoS İndeksli Yayınlar Koleksiyonu [5391]



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