Abstract
Purpose
To identify the factors involved in failure and post-operative complications of retrograde rigid ureteroscopy (URS) in the treatment of ureteric stones in children.
Methods
This is a retrospective study, including 33 children who underwent 34 rigid URS (one case bilateral) for obstructive ureteric stones over a period of 10 years. Patient age, sex, presenting symptoms, stone size and location, operative technique, surgical outcomes and complications were recorded. Ureteroscopy was done in a manner similar to that in adults. Statistical analysis was performed using the Mann–Whitney U, the Chi-square or Fisher’s exact test.
Results
There were 33 children (22 girls and 11 boys) with a mean age of 10.8 years (range 4–16 years) presenting 34 stones. The site of stones was pelvic in 24 cases (70.5%), iliac in 2 cases (6%) and lumbar in 8 cases (23.5%). The mean size of stones was 10.9 mm (5–22 mm). The success rate was 91%. There were no intraoperative complications. Post-operative complications rate was 21%. Factors associated with failure were size, localization of the stone, and delay of surgery. Factors associated with post-operative complications were size of the stone and operative time.
Conclusion
The rigid URS in children is a reliable and effective treatment option in the management of ureteric stones. Favorable factors for success of the procedure are pelvic stone and stone size <10 mm.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Holman E, Khan AM, Flasko T, Toth C, Salah MA (2004) Endoscopic management of pediatric urolithiasis in a developing country. Urology 63:159–162
De Dominicis M, Matarazzo E, Capozza N, Collura G, Caione P (2005) Retrograde ureteroscopy for distal ureteric stone removal in children. BJU Int 95:1049–1052
Minevich E, Defoor W, Reddy P, Nishinaka K, Wacksman J, Sheldon C, Erhard M (2005) Ureteroscopy is safe and effective in prepubertal children. J Urol 174:276–279
Shepherd P, Thomas R, Harmon EP (1988) Urolithiasis in children: innovations in management. J Urol 140:790–792
Ritchey M, Patterson DE, Kelalis PP, Segura JW (1988) A case of pediatric ureteroscopic lasertripsy. J Urol 139:1272–1274
Reddy PP (2004) Pediatric ureteroscopy. Urol Clin North Am 31:145–156
Tan AH, Al-Omar M, Denstedt JD, Razvi H (2005) Ureteroscopy for pediatric urolithiasis: an evolving first-line therapy. Urology 65:153–156
Thomas JC, DeMarco RT, Donohoe JM, Adams MC, Brock JW 3rd, Pope JC 4th (2005) Pediatric ureteroscopic stone management. J Urol 174:1072–1074
Kurzrock EA, Huffman JL, Hardy BE, Fugelso P (1996) Endoscopic treatment of pediatric urolithiasis. J Pediatr Surg 31:1413–1416
Schuester TG, Russell KY, Bloom DA, Koo HP, Faerber GJ (2002) Ureteroscopy for the treatment of urolithiasis in children. J Urol 167:1813–1816
Miroglu C, Horasanli K, Tanriverdi O, Altay B, Gumus E (2006) Operative failure during ureteroscopic pneumatic lithotripsy: factors affecting successful outcome. Urol Int 77:148–151
Schuster TG, Hollenbeck BK, Faerber GJ, Wolf JS Jr (2001) Complications of ureteroscopy: analysis of predictive factors. J Urol 166:538–540
Conflict of interest statement
None.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Jaidane, M., Hidoussi, A., Slama, A. et al. Factors affecting the outcome of ureteroscopy in the management of ureteral stones in children. Pediatr Surg Int 26, 501–504 (2010). https://doi.org/10.1007/s00383-010-2572-y
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00383-010-2572-y