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

ABDULGHAFOOR SULAIMAN ABDULKAREEM; SAUD HUSSEIN MOUSSA

ABDULGHAFOOR SULAIMAN ABDULKAREEM Assistant Professor, Department of Surgery, College of Medicine, University of Duhok, Kurdistan Region, Iraq
SAUD HUSSEIN MOUSSA Urosugeon, Assalam Teaching Hospital, Ninavah Directory of Health, Ninavah, Iraq

Keywords: Ureteroscopy, ureteric calculi, laser lithotripsy

Abstract

https://doi.org/10.31386/dmj.uod.18.12.2.1

Background: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 2-13 years) with ureteric calculi underwent ureteroscopy with a semi-rigid 6 Fr Karl Storzureteroscope and Holmium:YAG laser lithotripsy. The stone size ranged from 4-14 mm depending on US, KUB, IVU and CT scan in some cases. All the procedures were done under general anaesthesia 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 and after a second ureteroscopy in five patients, one patient developed ureteric injury and treated with open ureterolithotomy.Post-operative complications encountered in 11(22%) of cases, 7 cases with fever, 3 with gross hematuria and one with urinary extravasation due to ureteric perforation.

Conclusions:Ureteroscopy and Ho:YAG laser lithotripsy is an effective and relatively safe in the treatment of pediatric ureteric calculi.

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