Rigid and flexible ureteroscopy (URS/RIRS) management of paediatric urolithiasis in a not endemic country
Introduction: In the last years due to miniaturization of endoscopic instruments and percutaneous surgery, endourology has become very popular in paediatric urinary stone managment. We reported our single-centre experience in retrograde endoscopic procedures in children. Results and complications of...
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PAGEPress Publications
2021-03-01
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| Series: | Archivio Italiano di Urologia e Andrologia |
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| Online Access: | https://pagepressjournals.org/index.php/aiua/article/view/9342 |
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| author | Stefania Ferretti Monica Cuschera Davide Campobasso Claudia Gatti Riccardo Milandri Tommaso Bocchialini Elisa Simonetti Pietro Granelli Antonio Frattini Umberto Vittorio Maestroni |
| author_facet | Stefania Ferretti Monica Cuschera Davide Campobasso Claudia Gatti Riccardo Milandri Tommaso Bocchialini Elisa Simonetti Pietro Granelli Antonio Frattini Umberto Vittorio Maestroni |
| author_sort | Stefania Ferretti |
| collection | DOAJ |
| description | Introduction: In the last years due to miniaturization of endoscopic instruments and percutaneous surgery, endourology has become very popular in paediatric urinary stone managment. We reported our single-centre experience in retrograde endoscopic procedures in children. Results and complications of URS/RIRS are discussed.
Materials and methods: We retrospectively reviewed our experience in patients ≤ 16 years old affected by urinary stones who underwent URS/RIRS procedures performed by two surgeons with expertise in endourology. A total of 30 renal Units (RUs) underwent endoscopic procedures (URS, RIRS or both). Surgical complications according to the ClavienDindo’s classification and stone-free rate were evaluated at 3 months follow-up. Success of URS was defined as stone-free status after single procedure while RIRS success rate was considered as presence of residual stone fragments smaller than 4 mm at first procedure.
Results: The mean age of our patients was 8 years, range 2- 16 years. A total of 30 renal units (RUs) underwent 40 endourological procedures (23 URS and 17 RIRS; 10 children underwent both procedures at the same time). 17/30 (56.6%) RUs were pre-stented before surgery. The stone-free status was achieved in 23/30 renal units treated, with a 76.6% success rate. The remaining 7 patients had residual stones greater than 4 mm and underwent further treatments. After a second surgery the stone-free rate turned out to be 93.3% (28/30 renal units).
Conclusions: Rigid and flexible ureteroscopy (URS/RIRS) is a reliable technique for treatment of < 2 cm urinary stones in paediatric age group. It shows low rate of major complications and promising results in terms of stone-free rate. |
| first_indexed | 2024-12-19T21:45:28Z |
| format | Article |
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| institution | Directory Open Access Journal |
| issn | 1124-3562 2282-4197 |
| language | English |
| last_indexed | 2024-12-19T21:45:28Z |
| publishDate | 2021-03-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Archivio Italiano di Urologia e Andrologia |
| spelling | doaj.art-d37a8f85b5df41bf97108cef418231042022-12-21T20:04:33ZengPAGEPress PublicationsArchivio Italiano di Urologia e Andrologia1124-35622282-41972021-03-0193110.4081/aiua.2021.1.26Rigid and flexible ureteroscopy (URS/RIRS) management of paediatric urolithiasis in a not endemic countryStefania Ferretti0Monica Cuschera1Davide Campobasso2Claudia Gatti3Riccardo Milandri4Tommaso Bocchialini5Elisa Simonetti6Pietro Granelli7Antonio Frattini8Umberto Vittorio Maestroni9Urology Unit, University-Hospital of ParmaUrology Unit, University-Hospital of ParmaUrology Unit, Hospital of Guastalla, Azienda USL-IRCCS of Reggio EmiliaPaediatric Surgery Unit, University-Hospital of ParmaUrology Unit, University-Hospital of ParmaUrology Unit, University-Hospital of ParmaUrology Unit, University-Hospital of ParmaUrology Unit, University-Hospital of ParmaUrology Unit, Hospital of Guastalla, Azienda USL-IRCCS of Reggio EmiliaUrology Unit, University-Hospital of ParmaIntroduction: In the last years due to miniaturization of endoscopic instruments and percutaneous surgery, endourology has become very popular in paediatric urinary stone managment. We reported our single-centre experience in retrograde endoscopic procedures in children. Results and complications of URS/RIRS are discussed. Materials and methods: We retrospectively reviewed our experience in patients ≤ 16 years old affected by urinary stones who underwent URS/RIRS procedures performed by two surgeons with expertise in endourology. A total of 30 renal Units (RUs) underwent endoscopic procedures (URS, RIRS or both). Surgical complications according to the ClavienDindo’s classification and stone-free rate were evaluated at 3 months follow-up. Success of URS was defined as stone-free status after single procedure while RIRS success rate was considered as presence of residual stone fragments smaller than 4 mm at first procedure. Results: The mean age of our patients was 8 years, range 2- 16 years. A total of 30 renal units (RUs) underwent 40 endourological procedures (23 URS and 17 RIRS; 10 children underwent both procedures at the same time). 17/30 (56.6%) RUs were pre-stented before surgery. The stone-free status was achieved in 23/30 renal units treated, with a 76.6% success rate. The remaining 7 patients had residual stones greater than 4 mm and underwent further treatments. After a second surgery the stone-free rate turned out to be 93.3% (28/30 renal units). Conclusions: Rigid and flexible ureteroscopy (URS/RIRS) is a reliable technique for treatment of < 2 cm urinary stones in paediatric age group. It shows low rate of major complications and promising results in terms of stone-free rate.https://pagepressjournals.org/index.php/aiua/article/view/9342Flexible ureterescopyPaediatric stone diseaseRIRSLaser lithotripsy |
| spellingShingle | Stefania Ferretti Monica Cuschera Davide Campobasso Claudia Gatti Riccardo Milandri Tommaso Bocchialini Elisa Simonetti Pietro Granelli Antonio Frattini Umberto Vittorio Maestroni Rigid and flexible ureteroscopy (URS/RIRS) management of paediatric urolithiasis in a not endemic country Archivio Italiano di Urologia e Andrologia Flexible ureterescopy Paediatric stone disease RIRS Laser lithotripsy |
| title | Rigid and flexible ureteroscopy (URS/RIRS) management of paediatric urolithiasis in a not endemic country |
| title_full | Rigid and flexible ureteroscopy (URS/RIRS) management of paediatric urolithiasis in a not endemic country |
| title_fullStr | Rigid and flexible ureteroscopy (URS/RIRS) management of paediatric urolithiasis in a not endemic country |
| title_full_unstemmed | Rigid and flexible ureteroscopy (URS/RIRS) management of paediatric urolithiasis in a not endemic country |
| title_short | Rigid and flexible ureteroscopy (URS/RIRS) management of paediatric urolithiasis in a not endemic country |
| title_sort | rigid and flexible ureteroscopy urs rirs management of paediatric urolithiasis in a not endemic country |
| topic | Flexible ureterescopy Paediatric stone disease RIRS Laser lithotripsy |
| url | https://pagepressjournals.org/index.php/aiua/article/view/9342 |
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