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Safety and Efficacy of Pediatric Ureteroscopy for Management of Calculous Disease

1993; Lippincott Williams & Wilkins; Volume: 149; Issue: 5 Part 1 Linguagem: Inglês

10.1016/s0022-5347(17)36302-4

1527-3792

Raju Thomas, Joseph Ortenberg, Barry R. Lee, Edwin Harmon,

Ureteral procedures and complications

No AccessJournal of Urology1 May 1993Safety and Efficacy of Pediatric Ureteroscopy for Management of Calculous Disease Raju Thomas, Joseph Ortenberg, Barry R. Lee, and Edwin P. Harmon Raju ThomasRaju Thomas , Joseph OrtenbergJoseph Ortenberg , Barry R. LeeBarry R. Lee , and Edwin P. HarmonEdwin P. Harmon View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)36302-4AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Ureteral calculi, although relatively uncommon in children in the United States, have traditionally been managed with open surgical removal. Innovations in managing ureteral stones in the adult population have not readily been used to manage such problems in children due to unknown effects on the ureterovesical junction and to the unavailability of smaller caliber ureteroscopes. We report on the technique and long-term (average 26 months, range 3 to 56) safety following 18 successful ureteroscopic procedures for stone removal in 16 patients 16 months to 15 years old. All children were rendered stone-free. Followup quantitative renal scans and excretory urography showed adequate renal growth. No incidence of vesicoureteral reflux occurred in 9 of the 14 patients (64%) available for followup who underwent postoperative cystograms. These results suggest that judicious use of smaller caliber instruments, improved ancillary equipment and experience in such procedures make ureteroscopy a safe procedure for management of ureteral calculi in children. © 1993 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited bySingh A, Shah G, Young J, Sheridan M, Haas G and Upadhyay J (2018) Ureteral Access Sheath for the Management of Pediatric Renal and Ureteral Stones: A Single Center ExperienceJournal of Urology, VOL. 175, NO. 3, (1080-1082), Online publication date: 1-Mar-2006.Soygur T, Zumrutbas A, Gulpinar O, Suer E and Arikan N (2018) Hydrodilation of the Ureteral Orifice in Children Renders Ureteroscopic Access Possible Without any Further Active DilationJournal of Urology, VOL. 176, NO. 1, (285-287), Online publication date: 1-Jul-2006.Lesani O and Palmer J (2018) Retrograde Proximal Rigid Ureteroscopy and Pyeloscopy in Prepubertal Children: Safe and EffectiveJournal of Urology, VOL. 176, NO. 4, (1570-1573), Online publication date: 1-Oct-2006.MINEVICH E, DeFOOR W, REDDY P, NISHINAKA K, WACKSMAN J, SHELDON C and ERHARD M (2018) URETEROSCOPY IS SAFE AND EFFECTIVE IN PREPUBERTAL CHILDRENJournal of Urology, VOL. 174, NO. 1, (276-279), Online publication date: 1-Jul-2005.HUBERT K and PALMER J (2018) PASSIVE DILATION BY URETERAL STENTING BEFORE URETEROSCOPY: ELIMINATING THE NEED FOR ACTIVE DILATIONJournal of Urology, VOL. 174, NO. 3, (1079-1080), Online publication date: 1-Sep-2005.THOMAS J, DeMARCO R, DONOHOE J, ADAMS M, BROCK J and POPE J (2018) PEDIATRIC URETEROSCOPIC STONE MANAGEMENTJournal of Urology, VOL. 174, NO. 3, (1072-1074), Online publication date: 1-Sep-2005.SATAR N, ZEREN S, BAYAZIT Y, ARIDOĐAN I, SOYUPAK B and TANSUĐ Z (2018) RIGID URETEROSCOPY FOR THE TREATMENT OF URETERAL CALCULI IN CHILDRENJournal of Urology, VOL. 172, NO. 1, (298-300), Online publication date: 1-Jul-2004.WALLIS M, BROWN D, JAYANTHI V and KOFF S (2018) A Novel Technique for Ureteral Catheterization and/or Retrograde Ureteroscopy after Cross-Trigonal Ureteral ReimplantationJournal of Urology, VOL. 170, NO. 4 Part 2, (1664-1666), Online publication date: 1-Oct-2003.Schuster T, Russell K, Bloom D, Koo H and Faerber G (2018) Ureteroscopy For The Treatment Of Urolithiasis In ChildrenJournal of Urology, VOL. 167, NO. 4, (1813-1816), Online publication date: 1-Apr-2002.Van Savage J, Palanca L, Andersen R, Rao G and Slaughenhoupt B (2018) TREATMENT OF DISTAL URETERAL STONES IN CHILDREN: SIMILARITIES TO THE AMERICAN UROLOGICAL ASSOCIATION GUIDELINES IN ADULTSJournal of Urology, VOL. 164, NO. 3 Part 2, (1089-1093), Online publication date: 1-Sep-2000.JAYANTHI V, ARNOLD P and KOFF S (2018) STRATEGIES FOR MANAGING UPPER TRACT CALCULI IN YOUNG CHILDRENJournal of Urology, VOL. 162, NO. 3 Part 2, (1234-1237), Online publication date: 1-Sep-1999.WOLLIN T, TEICHMAN J, ROGENES V, RAZVI H, DENSTEDT J and GRASSO M (2018) HOLMIUM: YAG LITHOTRIPSY IN CHILDRENJournal of Urology, VOL. 162, NO. 5, (1717-1720), Online publication date: 1-Nov-1999.Netto N, de Almeida Claro J, Esteves S and Andrade E (2018) Ureteroscopic Stone Removal in the Distal Ureter. Why Change?Journal of Urology, VOL. 157, NO. 6, (2081-2083), Online publication date: 1-Jun-1997.Preminger G (2018) Editorial: Technique Versus Technology: What is the Most Appropriate Method for the Removal of Ureteral Calculi?Journal of Urology, VOL. 152, NO. 1, (66-67), Online publication date: 1-Jul-1994. Volume 149Issue 5 Part 1May 1993Page: 1082-1084 Advertisement Copyright & Permissions© 1993 by The American Urological Association Education and Research, Inc.Keywordspediatricssafetyureteroscopyurinary calculiMetricsAuthor Information Raju Thomas More articles by this author Joseph Ortenberg More articles by this author Barry R. Lee More articles by this author Edwin P. Harmon More articles by this author Expand All Advertisement PDF downloadLoading ...