Semi-rigid Ureteroscopy in Children Using Pneumatic Lithotripsy: Safety and Efficacy | ||||
| Minia Journal of Medical Research | ||||
| Volume 31, Issue 3, July 2020, Page 400-406 PDF (370.48 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/mjmr.2022.220330 | ||||
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| Authors | ||||
| Hosam M. Mahmoud; Ahmed Z. Mohamed; Ahmed H. Abd-elgawad; Ehab R. Tawfiek | ||||
| Department of Urology, Faculty of Medicine, Minia University | ||||
| Abstract | ||||
| Introduction: The first-line treatment of ureteric stones is done using (URS) and (ESWL). Pneumatic, electro-hydraulic, ultrasonic, and laser devices have been used for URS treatment . Small caliber ureteroscopes with laser lithotripsy are the traditional management for pediatric ureteral stones and have provided a more safe management with lower complication rates. Aim of the work: The aim of our study was to demonstrate the safety and efficacy of pneumatic lithotripsy in the management of ureteral stones in pediatric cases. Patients and Methods: Our prospective clinical study at Nephrology and Urology Minia University Hospital, involved semi-rigid ureteroscopy using pneumatic lithotripsy in 20 child with ureteric stones. All children (2-16 years old) attended at our outpatient clinic diagnosed with ureteric stones (< 15 mm in size) and indicated for surgery underwent URS. Upper ureteric stones will excluded in our study. Results: In the current research, the outcome of 20 children underwent ureteroscopy with the use of a semirigid ureteroscope for middle and lower ureteric stones have been described. Our stone-free rate was 90%, all the complications were noted in our study at the start. We have not experienced any case of ureteral avulsion, there had been a single case of intraoperative ureteric perforation with extravasation. Regarding post-operative residual hydronephrosis , in our study 70 % of cases had no postoperative hydronephrosis on 1-month follow up US, while 100% of cases showed no hydronephrosis on 3-6 month follow up. | ||||
| Keywords | ||||
| URS: ureteroscopy; ESWL: extracorporeal shock wave lithotripsy | ||||
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