Comparative Study between Retrograde Intrarenal Surgery, Mini-PCNL and Shock Wave Lithotripsy in Management of Pediatric Renal Stones
Abd El All, A., Fathy, A., Abd Elzaher, M., Soliman, T., El Mogy, A., Elhamshary, S. (2025). Comparative Study between Retrograde Intrarenal Surgery, Mini-PCNL and Shock Wave Lithotripsy in Management of Pediatric Renal Stones. EKB Journal Management System, (), -. doi: 10.21608/bmfj.2025.226937.1870
Ashraf M. Abd El All; Abdallah Fathy; Mohammed Abd Elzaher; Tarek Soliman; Ahmed El Mogy; Salah Abdel Hamed Elhamshary. "Comparative Study between Retrograde Intrarenal Surgery, Mini-PCNL and Shock Wave Lithotripsy in Management of Pediatric Renal Stones". EKB Journal Management System, , , 2025, -. doi: 10.21608/bmfj.2025.226937.1870
Abd El All, A., Fathy, A., Abd Elzaher, M., Soliman, T., El Mogy, A., Elhamshary, S. (2025). 'Comparative Study between Retrograde Intrarenal Surgery, Mini-PCNL and Shock Wave Lithotripsy in Management of Pediatric Renal Stones', EKB Journal Management System, (), pp. -. doi: 10.21608/bmfj.2025.226937.1870
Abd El All, A., Fathy, A., Abd Elzaher, M., Soliman, T., El Mogy, A., Elhamshary, S. Comparative Study between Retrograde Intrarenal Surgery, Mini-PCNL and Shock Wave Lithotripsy in Management of Pediatric Renal Stones. EKB Journal Management System, 2025; (): -. doi: 10.21608/bmfj.2025.226937.1870

Comparative Study between Retrograde Intrarenal Surgery, Mini-PCNL and Shock Wave Lithotripsy in Management of Pediatric Renal Stones

Benha Medical Journal
Articles in Press, Accepted Manuscript, Available Online from 01 February 2025  XML
Document Type: Original Article
DOI: 10.21608/bmfj.2025.226937.1870
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Authors
Ashraf M. Abd El All1; Abdallah Fathy2; Mohammed Abd Elzaher3; Tarek Soliman4; Ahmed El Mogy email 1; Salah Abdel Hamed Elhamshary5
1Urology, Faculty of medicine, Benha university
2Urology department Faculty of Medicine , Benha University
3Urology department, faculty of medicine, Benha university
4Urology, faculty of medicine, Benha university
5Urology,faculty of medicine, Benha university
Abstract
Objective: To compare safety, efficacy, and stone free rate of retrograde intrarenal surgery (RIRS), mini PCNL and extracoporeal shock wave lithotripsy (ESWL) in the treatment of pediatric renal stones.
Patients and methods: Ninety pediatric patients (9-18 years old) with single renal stone (pelvis or lower calyx) 10-20 mm in size, were prospectively collected and randomly divided into three groups, A (RIRS), B (Mini-PCNL) and C (ESWL). RIRS was performed using flexible ureteroscope (Boston Scientific LithoVue™ 7.7/9.5Fr). Mini-PCNL was performed using rigid pediatric nephroscope (Storz miniperc 16.5 Fr) and the stones were fragmented or dusted in groups A and B using holmium:YAG laser (Luminis Pulse 30H). ESWL was performed using a piezoelectric lithotripter (Piezolith 3000 plus) device under fluoroscopy guidance.
Results: Operative time significantly differed between the studied groups (P < 0.001), it was significantly higher in group B (101 ±11 min) than in groups A (82 ±9 min) and C (75 ±28 min). Fluoroscopy time significantly differed between the studied groups (P < 0.001), it was significantly higher in group B (103 ±14 sec) than in groups A (44 ±7 sec) and C (90 ±12 sec).
The median hospital stay showed an overall significant difference between the studied groups (P < 0.001). No significant differences were observed regarding stone free rate (P = 0.667), pain score (P = 0.125), complications (P = 0.516), and complication type (P = 0.867).
Conclusion: ESWL, RIRS and mini-PCNL are safe and effective methods in treatment of renal pediatric stones (10-20 mm).
Keywords
Renal stones; ESWL; retrograde intra-renal surgery (RIRS); Mini percutaneous nephrolithotomy (M-PCNL)
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