Ureteroscopy for stone disease in the paediatric population: lessons learned and outcomes in a Nordic setting
Introduction: Paediatric stone disease is rare in the Nordic communities. Still, the condition can require surgical intervention in the form of ureteroscopy (URS). Here, we report outcomes achieved at a regional (tertiary) centre. Patients and methods: Retrospective analysis was performed of consecu...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2022-08-01
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| Series: | Therapeutic Advances in Urology |
| Online Access: | https://doi.org/10.1177/17562872221118727 |
| _version_ | 1811284230049628160 |
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| author | Patrick Juliebø-Jones Mathias Sørstrand Æsøy Peder Gjengstø Christian Beisland Øyvind Ulvik |
| author_facet | Patrick Juliebø-Jones Mathias Sørstrand Æsøy Peder Gjengstø Christian Beisland Øyvind Ulvik |
| author_sort | Patrick Juliebø-Jones |
| collection | DOAJ |
| description | Introduction: Paediatric stone disease is rare in the Nordic communities. Still, the condition can require surgical intervention in the form of ureteroscopy (URS). Here, we report outcomes achieved at a regional (tertiary) centre. Patients and methods: Retrospective analysis was performed of consecutive patients (<18 years of age) undergoing URS for stone disease between 2010 and 2021. Outcomes of interest included stone-free rate (SFR) determined using a definition of no residual fragments ⩾ 3 mm on imaging and complications classified according to Clavien–Dindo system. Results: In total, 23 patients underwent 47 URS procedures for a total of 31 stone episodes. Mean age was 9 (range 1–17) years and male-to-female ratio was 6:17. Overall, 35% had at least one medical comorbidity. Ultrasound determined preoperative stone status in 87%. Mean largest index and cumulative stone sizes were 9 (range 3–40) and 12 (range 3–40) mm, respectively. Overall, 32% had multiple stones. Lower pole was the commonest stone location (39%). No patients underwent elective pre-operative stenting. Ureteral access sheaths were not used in any cases. Access to upper urinary tract at first procedure was successful in 94%. Initial and final SFR was 61% and 90%, respectively. No intra-operative complications were recorded. Overall post-operative complication rate was 17.5%. Urinary tract infection (CD II) was the commonest adverse event (12.5%). Conclusion: Paediatric URS can be delivered in the setting of a regional centre without compromising outcomes. This includes when carried out by adult endourologists, without routine pre-stenting and omitting use of ureteric access sheath. |
| first_indexed | 2024-04-13T02:25:32Z |
| format | Article |
| id | doaj.art-3a5ffd18ae64436f99ab2cc4df838b07 |
| institution | Directory Open Access Journal |
| issn | 1756-2880 |
| language | English |
| last_indexed | 2024-04-13T02:25:32Z |
| publishDate | 2022-08-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Therapeutic Advances in Urology |
| spelling | doaj.art-3a5ffd18ae64436f99ab2cc4df838b072022-12-22T03:06:48ZengSAGE PublishingTherapeutic Advances in Urology1756-28802022-08-011410.1177/17562872221118727Ureteroscopy for stone disease in the paediatric population: lessons learned and outcomes in a Nordic settingPatrick Juliebø-JonesMathias Sørstrand ÆsøyPeder GjengstøChristian BeislandØyvind UlvikIntroduction: Paediatric stone disease is rare in the Nordic communities. Still, the condition can require surgical intervention in the form of ureteroscopy (URS). Here, we report outcomes achieved at a regional (tertiary) centre. Patients and methods: Retrospective analysis was performed of consecutive patients (<18 years of age) undergoing URS for stone disease between 2010 and 2021. Outcomes of interest included stone-free rate (SFR) determined using a definition of no residual fragments ⩾ 3 mm on imaging and complications classified according to Clavien–Dindo system. Results: In total, 23 patients underwent 47 URS procedures for a total of 31 stone episodes. Mean age was 9 (range 1–17) years and male-to-female ratio was 6:17. Overall, 35% had at least one medical comorbidity. Ultrasound determined preoperative stone status in 87%. Mean largest index and cumulative stone sizes were 9 (range 3–40) and 12 (range 3–40) mm, respectively. Overall, 32% had multiple stones. Lower pole was the commonest stone location (39%). No patients underwent elective pre-operative stenting. Ureteral access sheaths were not used in any cases. Access to upper urinary tract at first procedure was successful in 94%. Initial and final SFR was 61% and 90%, respectively. No intra-operative complications were recorded. Overall post-operative complication rate was 17.5%. Urinary tract infection (CD II) was the commonest adverse event (12.5%). Conclusion: Paediatric URS can be delivered in the setting of a regional centre without compromising outcomes. This includes when carried out by adult endourologists, without routine pre-stenting and omitting use of ureteric access sheath.https://doi.org/10.1177/17562872221118727 |
| spellingShingle | Patrick Juliebø-Jones Mathias Sørstrand Æsøy Peder Gjengstø Christian Beisland Øyvind Ulvik Ureteroscopy for stone disease in the paediatric population: lessons learned and outcomes in a Nordic setting Therapeutic Advances in Urology |
| title | Ureteroscopy for stone disease in the paediatric population: lessons learned and outcomes in a Nordic setting |
| title_full | Ureteroscopy for stone disease in the paediatric population: lessons learned and outcomes in a Nordic setting |
| title_fullStr | Ureteroscopy for stone disease in the paediatric population: lessons learned and outcomes in a Nordic setting |
| title_full_unstemmed | Ureteroscopy for stone disease in the paediatric population: lessons learned and outcomes in a Nordic setting |
| title_short | Ureteroscopy for stone disease in the paediatric population: lessons learned and outcomes in a Nordic setting |
| title_sort | ureteroscopy for stone disease in the paediatric population lessons learned and outcomes in a nordic setting |
| url | https://doi.org/10.1177/17562872221118727 |
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