Rigid and flexible ureteroscopy (URS/RIRS) management of paediatric urolithiasis in a not endemic country

Stefania Ferretti, Monica Cuschera, Davide Campobasso, Claudia Gatti, Riccardo Milandri, Tommaso Bocchialini, Elisa Simonetti, Pietro Granelli, Antonio Frattini, Umberto Vittorio Maestroni

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction: In the last years due to miniaturization of endoscopic instruments and percutaneous surgery, endourology has become very popular in paediatric urinary stone managment. We reported our single-centre experience in retrograde endoscopic procedures in children. Results and complications of URS/RIRS are discussed. Materials and methods: We retrospectively reviewed our experience in patients ≤ 16 years old affected by urinary stones who underwent URS/RIRS procedures performed by two surgeons with expertise in endourology. A total of 30 renal Units (RUs) underwent endoscopic procedures (URS, RIRS or both). Surgical complications according to the ClavienDindo's classification and stone-free rate were evaluated at 3 months follow-up. Success of URS was defined as stone-free status after single procedure while RIRS success rate was considered as presence of residual stone fragments smaller than 4 mm at first procedure. Results: The mean age of our patients was 8 years, range 2- 16 years. A total of 30 renal units (RUs) underwent 40 endourological procedures (23 URS and 17 RIRS; 10 children underwent both procedures at the same time). 17/30 (56.6%) RUs were pre-stented before surgery. The stone-free status was achieved in 23/30 renal units treated, with a 76.6% success rate. The remaining 7 patients had residual stones greater than 4 mm and underwent further treatments. After a second surgery the stone-free rate turned out to be 93.3% (28/30 renal units). Conclusions: Rigid and flexible ureteroscopy (URS/RIRS) is a reliable technique for treatment of < 2 cm urinary stones in paediatric age group. It shows low rate of major complications and promising results in terms of stone-free rate.

Original languageEnglish
Pages (from-to)26-30
Number of pages5
JournalArchivio Italiano di Urologia e Andrologia
Volume93
Issue number1
DOIs
Publication statusPublished - Mar 1 2021

Keywords

  • Flexible ureterescopy
  • Laser lithotripsy
  • Paediatric stone disease
  • RIRS

ASJC Scopus subject areas

  • Urology

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