Journal of Indian Association of Pediatric Surgeons
Journal of Indian Association of Pediatric Surgeons
                                                   Official journal of the Indian Association of Pediatric Surgeons                           
Year : 2009  |  Volume : 14  |  Issue : 2  |  Page : 63--65

Flexible ureterorenoscopy and laser lithotripsy in children


Wen-Chan Yeow, Richard Pemberton, Andrew Barker 
 Department of Pediatric Surgery, Princess Margaret Hospital, Roberts Road, Subiaco, Western Australia 6008, Australia

Correspondence Address:
Andrew Barker
Princess Margaret Hospital for Children, Roberts Road, Subiaco, WA 6008
Australia

Background: Flexible ureterorenoscopy (FUR) and laser lithotripsy (LL) are techniques used in the management of upper urinary tract disorders. These techniques, so far established in adults, are now being used in children as well. We report our experience with 26 cases of pediatric upper urinary tract disorders treated using these techniques. Methods: In the period from 1997 to 2006, FUR was performed in 26 children (14 males and 12 females) in the age group of three months to 15 years with a mean age of 8.2 years. Twenty five were stented prior to undergoing FUR and 24 presented with suspected upper tract stones (17 pelvicalyceal and seven midureteric). Two cases showed JJ stent migration post-pyeloplasty. Results: Eight cases involved diagnostic procedures. Six excluded the presence of renal calculi, one had focal medullary sponge kidney, and one had calcified papillae. There were 15 cases of therapeutic FUR. Of these, 12 had LL with only one had incomplete stone fragmentation which subsequently passed spontaneously. Other therapeutic procedures included removal of migrated JJ stents and FUR with the basket removal of a midureteric calculus. Three cases failed ureterorenoscopy due to technical difficulties. The overall success rate was 88.5% for FUR. Conclusion: FUR and LL are valuable minimally invasive techniques for the examination and treatment of pediatric upper urinary tract conditions. Preoperative stenting improves passage of the ureteroscope and with progressive miniaturization of instruments, the lower weight limit will decrease.


How to cite this article:
Yeow WC, Pemberton R, Barker A. Flexible ureterorenoscopy and laser lithotripsy in children.J Indian Assoc Pediatr Surg 2009;14:63-65


How to cite this URL:
Yeow WC, Pemberton R, Barker A. Flexible ureterorenoscopy and laser lithotripsy in children. J Indian Assoc Pediatr Surg [serial online] 2009 [cited 2020 Feb 28 ];14:63-65
Available from: http://www.jiaps.com/article.asp?issn=0971-9261;year=2009;volume=14;issue=2;spage=63;epage=65;aulast=Yeow;type=0