You have accessJournal of UrologyPediatrics: Stone Disease & Tumors1 Apr 20111386 TREATMENT OF STAGHORN STONES IN PEDIATRIC PATIENTS: A MATCHED PAIR COMPARISON OF PERCUTANEOUS NEPHROLITHOTOMY AND OPEN SURGERY Ahmed Elnahas, Ahmed Shokeir, Ahmed Shoma, Ibrahim Eraky, Ahmed Elassmy, Osama Sarhan, Hamdy Elkappany, and Mahmoud Elkenawy Ahmed ElnahasAhmed Elnahas Mansoura, Egypt More articles by this author , Ahmed ShokeirAhmed Shokeir Mansoura, Egypt More articles by this author , Ahmed ShomaAhmed Shoma Mansoura, Egypt More articles by this author , Ibrahim ErakyIbrahim Eraky Mansoura, Egypt More articles by this author , Ahmed ElassmyAhmed Elassmy Mansoura, Egypt More articles by this author , Osama SarhanOsama Sarhan Mansoura, Egypt More articles by this author , Hamdy ElkappanyHamdy Elkappany Mansoura, Egypt More articles by this author , and Mahmoud ElkenawyMahmoud Elkenawy Mansoura, Egypt More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2011.02.1231AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES To compare the results of percutaneous nephrolithotomy (PNL) and open surgery for treatment of staghorn stones in children. METHODS The electronic records of children who underwent treatment of renal stones between September 2000 and 2009 were retrospectively reviewed. Exact matching criteria were used to compare PNL and open surgery in treatment of staghorn stones. The patients were matched for sex, stone burden (partial or complete staghorn) and laterality (unilateral or bilateral). Success, retreatment rates, need for auxiliary procedures, and complications were compared for both groups. RESULTS We identified 13 matched pairs of renal units in 11 patients as 2 patients in each group had bilateral staghorn stones. Each group comprised 9 males and 2 females. All PNL procedures were completed successfully without intraoperative complication. Postoperative complications included hematuria in 2 patients and urinary leakage in one. Secondary procedures were needed after 7 PNL (53.8%). They included second look PNL in 3 units, SWL in 3 units and ureteroscopy for retrieval of a ureteral stone causing urinary leakage in one unit. Stone-free rate at three months was 77% as 10 renal units were free of stones and 3 had insignificant residual fragments <4mm. For open surgery, complications included; pleural injury, renal bleeding and postoperative fever in one patient for each complication. Secondary procedures were needed in 4 cases (30.8%) in the form of SWL for residual stones. Stone-free rate at 3 months was 84.6% because 11 renal units were free of stones and 2 had insignificant residuals. Table 1 summarizes the comparison between both treatment groups. The only significant difference was shorter hospital stay after PNL (P=0.008). CONCLUSIONS For treatment of staghorn stones in children, percutaneous nephrolithotomy was comparable to open surgery with regard to complication and stone-free rates. However, PNL posed the advantage of shorter hospital stay and the disadvantage of more secondary procedures. © 2011 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 185Issue 4SApril 2011Page: e553 Peer Review Report Advertisement Copyright & Permissions© 2011 by American Urological Association Education and Research, Inc.MetricsAuthor Information Ahmed Elnahas Mansoura, Egypt More articles by this author Ahmed Shokeir Mansoura, Egypt More articles by this author Ahmed Shoma Mansoura, Egypt More articles by this author Ibrahim Eraky Mansoura, Egypt More articles by this author Ahmed Elassmy Mansoura, Egypt More articles by this author Osama Sarhan Mansoura, Egypt More articles by this author Hamdy Elkappany Mansoura, Egypt More articles by this author Mahmoud Elkenawy Mansoura, Egypt More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...