Management of Pediatric Urolithiasis in an Italian Tertiary Referral Center: A Retrospective Analysis
<i>Background and Objectives</i>: In recent years, the prevalence of pediatric urolithiasis has increased in North America and Western countries, though it is endemic in developing countries. The aim of this study is to describe the experience of a tertiary pediatric referral center in t...
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| Format: | Article |
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MDPI AG
2023-12-01
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| Series: | Medicina |
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| Online Access: | https://www.mdpi.com/1648-9144/59/12/2165 |
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| author | Francesco Lasorsa Claudia Caliolo Antonia Silecchia Nicola Laricchiuta Michele Raguso Pasquale Ditonno Giuseppe Lucarelli |
| author_facet | Francesco Lasorsa Claudia Caliolo Antonia Silecchia Nicola Laricchiuta Michele Raguso Pasquale Ditonno Giuseppe Lucarelli |
| author_sort | Francesco Lasorsa |
| collection | DOAJ |
| description | <i>Background and Objectives</i>: In recent years, the prevalence of pediatric urolithiasis has increased in North America and Western countries, though it is endemic in developing countries. The aim of this study is to describe the experience of a tertiary pediatric referral center in the surgical management of pediatric urolithiasis. <i>Materials and Methods</i>: We retrospectively reviewed the experience of patients ≤ 16 years old affected by urinary stones who underwent surgery. <i>Results</i>: From April 2021 to September 2023, 31 pediatric patients underwent surgical procedures for stone diseases at our department: 13 preschool-aged (1–5 years) and 18 school-aged (6–16 years) children. During this period, 12 URSs, 17 RIRSs, and 2 PCNLs were recorded. Five patients had residual fragments at first, so three of them underwent a second endourological lithotripsy (2 RIRSs and 1 URS). Complete clearance was finally achieved in 27 patients. The stone composition was evaluated in 25 cases. <i>Conclusions</i>: Numerous innovations in the surgical treatment of pediatric urolithiasis have resulted from the development of smaller devices and new technology. Our results show how, in experienced centers, retrograde and percutaneous lithotripsy are safe and effective procedures for use in pediatric populations. |
| first_indexed | 2024-03-08T20:32:37Z |
| format | Article |
| id | doaj.art-246bb7e9a45c4e67b116b4cb67611630 |
| institution | Directory Open Access Journal |
| issn | 1010-660X 1648-9144 |
| language | English |
| last_indexed | 2024-03-08T20:32:37Z |
| publishDate | 2023-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-246bb7e9a45c4e67b116b4cb676116302023-12-22T14:24:01ZengMDPI AGMedicina1010-660X1648-91442023-12-015912216510.3390/medicina59122165Management of Pediatric Urolithiasis in an Italian Tertiary Referral Center: A Retrospective AnalysisFrancesco Lasorsa0Claudia Caliolo1Antonia Silecchia2Nicola Laricchiuta3Michele Raguso4Pasquale Ditonno5Giuseppe Lucarelli6Department of Precision and Regenerative Medicine and Ionian Area-Urology, Andrology and Kidney Transplantation Unit, University of Bari “Aldo Moro”, 70124 Bari, ItalyUrologic Pediatric Surgery Unit, Pediatric Hospital “Giovanni XXIII”, 70124 Bari, ItalyUrologic Pediatric Surgery Unit, Pediatric Hospital “Giovanni XXIII”, 70124 Bari, ItalyUrologic Pediatric Surgery Unit, Pediatric Hospital “Giovanni XXIII”, 70124 Bari, ItalyDepartment of Precision and Regenerative Medicine and Ionian Area-Urology, Andrology and Kidney Transplantation Unit, University of Bari “Aldo Moro”, 70124 Bari, ItalyDepartment of Precision and Regenerative Medicine and Ionian Area-Urology, Andrology and Kidney Transplantation Unit, University of Bari “Aldo Moro”, 70124 Bari, ItalyDepartment of Precision and Regenerative Medicine and Ionian Area-Urology, Andrology and Kidney Transplantation Unit, University of Bari “Aldo Moro”, 70124 Bari, Italy<i>Background and Objectives</i>: In recent years, the prevalence of pediatric urolithiasis has increased in North America and Western countries, though it is endemic in developing countries. The aim of this study is to describe the experience of a tertiary pediatric referral center in the surgical management of pediatric urolithiasis. <i>Materials and Methods</i>: We retrospectively reviewed the experience of patients ≤ 16 years old affected by urinary stones who underwent surgery. <i>Results</i>: From April 2021 to September 2023, 31 pediatric patients underwent surgical procedures for stone diseases at our department: 13 preschool-aged (1–5 years) and 18 school-aged (6–16 years) children. During this period, 12 URSs, 17 RIRSs, and 2 PCNLs were recorded. Five patients had residual fragments at first, so three of them underwent a second endourological lithotripsy (2 RIRSs and 1 URS). Complete clearance was finally achieved in 27 patients. The stone composition was evaluated in 25 cases. <i>Conclusions</i>: Numerous innovations in the surgical treatment of pediatric urolithiasis have resulted from the development of smaller devices and new technology. Our results show how, in experienced centers, retrograde and percutaneous lithotripsy are safe and effective procedures for use in pediatric populations.https://www.mdpi.com/1648-9144/59/12/2165pediatric urolithiasiskidney stonesURSRIRSPCNL |
| spellingShingle | Francesco Lasorsa Claudia Caliolo Antonia Silecchia Nicola Laricchiuta Michele Raguso Pasquale Ditonno Giuseppe Lucarelli Management of Pediatric Urolithiasis in an Italian Tertiary Referral Center: A Retrospective Analysis Medicina pediatric urolithiasis kidney stones URS RIRS PCNL |
| title | Management of Pediatric Urolithiasis in an Italian Tertiary Referral Center: A Retrospective Analysis |
| title_full | Management of Pediatric Urolithiasis in an Italian Tertiary Referral Center: A Retrospective Analysis |
| title_fullStr | Management of Pediatric Urolithiasis in an Italian Tertiary Referral Center: A Retrospective Analysis |
| title_full_unstemmed | Management of Pediatric Urolithiasis in an Italian Tertiary Referral Center: A Retrospective Analysis |
| title_short | Management of Pediatric Urolithiasis in an Italian Tertiary Referral Center: A Retrospective Analysis |
| title_sort | management of pediatric urolithiasis in an italian tertiary referral center a retrospective analysis |
| topic | pediatric urolithiasis kidney stones URS RIRS PCNL |
| url | https://www.mdpi.com/1648-9144/59/12/2165 |
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