RESUMO
Objective: To determine the outcomes of pediatric patients who underwent ureteroscopic removal of ureteric stones in terms of stone free rates and complications
Study Design: Descriptive case series
Place and Duration of Study: Urology Department at Shifa International Hospital, Islamabad, from January 2012 to December 2014
Methodology: A retrospective analysis of 37 patients, who underwent ureteroscopy for the treatment of ureteral calculi at the study centre, was conducted. Data regarding mean stone size, stone location, stone clearance and complications was recorded on specified proforma. Data was analysed on SPSS version 16
Results: Thirty-seven children with mean age of 8.36 +/- 5.17 years were included. Twenty-five [67.6%] patients were male, whereas 12 [32.4%] patients were female. Mean stone size was 10.01 +/- 6.24 mm. Location-wise 25 [67.56%] patients had upper ureteric stones, 5 [13.5%] patients had mid ureteric stones and 7[18.9%] patients had distal ureteric stones. Twenty two [59.5%] children underwent one procedure, while 15 [40.5%] children underwent relook ureteroscopies. Second relook ureteroscopy was done in 13/25 [52%] patients, 1/5 [20%] patient and 1/7 [14.28%] patient in upper, mid and lower ureteric stones, respectively. Overall stone clearance rate was 35/37 [94.59%] after first procedure. Mean operative time was 52.54 +/- 12.39 minutes. Urosepsis was seen in 2 patients. No major complications were seen. After the second URS procedure, stone free rate was 100%
Conclusion: Ureteroscopy is a safe and effective procedure in children in terms of stone free rate and complications
RESUMO
To describe Paediatric Percutaneous Nephrolithotomy [PCNL] in terms of safety and efficacy in a group of 26 children. An observational study. Shifa International Hospital, Islamabad, from January 2011 to June 2013. PCNL of 26 children was done by standard technique. The patients were analyzed for age, gender, presenting symptoms, stone size, site, PCNL approach, operative time, stone clearance, hospital stay and per-operative and postoperative complications. Descriptive statistics were obtained. The mean age was 9.21 +/- 5.70 years. Seventeen [65.4%] patients were male whereas 9 [34.6%] patients were female. Flank pain was the most common presenting symptom. Mean stone size was 2.21 +/- 1.04 cm. Mean operative time was 158.8 +/- 39.63 minutes and mean hospital stay was 2.84 +/- 1.14 days. Postoperative transfusion was required in only one case [4%]. There was no episode of sepsis or perinephric collection. Per-operative stone clearance was 93.28% +/- 9.23%. Conversion to open was seen in one [4%] case. DJ stent was placed in 7 [27%] cases. PCNL is a safe and effective way of treating renal stones in paediatric age group