EFFICACY AND SAFETY OF PEDIATRIC URETEROSCOPY IN THE TREATMENT OF URETERIC CALCULI IN CHILDREN

Abstract

ABSTRACTBackground:To evaluate the efficacy and safety of pediatric ureteroscopy and Holmium:YAG laser lithotripsy in the management of ureteric calculi in children.Patients and Methods:A Prospective study of 49 children (age ranged 2ureteric calculi underwent ureteroscopy with a semiHolmium:YAG laser lithotripsy. The stone size ranged from 4KUB, IVU and CT scan in some cases. All the procedures were done under generalanaesthesia and on lithotomy position, and JJ stents inserted at the end of the procedure.Results:Of 49 patients, 43 patients were stone free after first ureteroscopic lithotripsy andafter a second ureteroscopy in five patients, one patient developed ureteric injury and treatedwith open ureterolithotomy.Postcaseswith fever, 3 with gross hematuria and one with urinary extravasation dueperforation.Conclusions:Ureteroscopy and Ho:YAG laser lithotripsy is an effective and relatively safe inthe treatment of pediatric ureteric calculi.