1056 URINARY STONE IN CHILDREN: ONE-YEAR EXPERIENCE

Abstract

You have accessJournal of UrologyPediatrics: Stone Disease1 Apr 20101056 URINARY STONE IN CHILDREN: ONE-YEAR EXPERIENCE Abdurrahman Onen, Mesut Siga, and Hatun Duran Abdurrahman OnenAbdurrahman Onen Diyarbakir, Turkey More articles by this author , Mesut SigaMesut Siga Diyarbakir, Turkey More articles by this author , and Hatun DuranHatun Duran Mardin, Turkey More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2010.02.2432AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES In this study, we share our one-year experience on children who underwent interventional urinary stone treatment. METHODS A total of 129 children who underwent interventional treatment for urinary stone in the year 2008 were reviewed. RESULTS Mean age was 7.3 years. The location of urinary stone was kidney in 67 patients, ureter in 43, bladder in 14, and urethra in 5 patients. Of the 129 patients, 31 underwent ESWL which was successful in 17 patients. Thirty-four patients had associated urinary anomaly predisposing urinary stone. Renal scan revealed low function in 19 patients and non-function in 6 patients. Of the 67 kidney stone patients, ESWL was performed in 21 patients (8 failed), PNL in 14, ureterorenoscopic stone extraction in 5, and flank incision in 28 patients (3 nephrectomy), mid-transvers upper abdominal incision for bilateral large stone in 7 patients. Of the 43 ureteral stone patients, ESWL was performed in 10 patients (6 failed), ureterorenoscopic stone extraction in 35, and open surgery in 4 patients (due to urinary anomaly). Of the 14 bladder stone patients, stone was removed percutaneously in 9 patients and cystoscopically in 5. All of the 5 urethral stones were removed cystoscopically. Postoperative complications were residual stone in 7 (4 required reoperation), perirenal fluid collection in 3 (resolved spontaneously), intraoperative bleeding in 2 (recovered with blood replacement). CONCLUSIONS About one-fourth of children with urinary stone had associated anomaly predisposing urinary stone. PNL and even ureterorenoscopic stone extraction can be safely performed with high success rate in a selected group of children with renal stone. Open abdominal approach with mid-transvers upper abdominal incision may be an alternative to flank incision in selected patients with bilateral large renal stones; it allows one stage surgery with one surgical incision. Postoperative complication rate is relatively low in experienced centers. © 2010 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 183Issue 4SApril 2010Page: e411 Advertisement Copyright & Permissions© 2010 by American Urological Association Education and Research, Inc.MetricsAuthor Information Abdurrahman Onen Diyarbakir, Turkey More articles by this author Mesut Siga Diyarbakir, Turkey More articles by this author Hatun Duran Mardin, Turkey More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...