Franco CD, Hernández LMA

Language: Spanish
References: 17
Page: 129-134
PDF size: 225.04 Kb.

ABSTRACT

Since the first ureteroscopic treatment of stones in children was described in 1988, for the handling of ureteral stones, the advance in endoscopic armamentarium has been dramatic. In general, indications for the treatment in ureteric calculi are the same than those for the adult patient. It is presented the case of a 4-year patient with diagnosis of left ureteric calculi in distal segment and 6 months of evolution. Lithotripsy was done with ureteric lithotripsy without incidents. Advances in the endourology indications to carry out open surgery have conduced to a significant reduction from 26% in 1987-1995 to less than 8% since 1996 to the present.
Treatment alternatives for children with urinary tract calculi are the following: shock wave lithotripsy with an effectiveness of 95%, evaluated by proportion of stone free areas, and a complications rate of 13%; ureteroscopy with an effectiveness of 85% and a complications rate of 32%; and finally conventional surgery, with the highest percentage in effectiveness, 97%, but with a complications rate of 13% being the cause of greater morbility compared with the first two procedures. Ureteroscopy and lithotripsy in pediatric patients it is a procedure almost non-invasive, with prompt recovery, it is sure and can be carried instead of the conventional (open) surgery, reducing morbility and the costs for public institutions.

REFERENCES

1. Ritchey M. Patterson DE, Kelalis PP, et al. A case of pediatric ureteroscopic lasertripsy. J Urol. 1988; 139: 1272-1274.

2. Malek RS. Urolithiasis In: Clinical Pediatric Urology, ed 2. Philadelphia: WB Saunders, 1985, vol 2, p 1093.

3. Noe HN, Stapleton FB, Jerkins GR, et al. Clinical experience with pediatric urolithiasis. J Urol. 1983; 37:198.

4. Borgman V, Nagel R. Urolithiasis in children: A study of 181 cases. Urol Int. 1982;37:198.

5. Tumock RR, Rangecroft L. Ureteral calculi in children: Review of 50 consecutíve cases. Urology. 1989; 33:211.

6. Al Busaidy SS, Prem AR, Medhat M. Pediatric ureteroscopy for ureteric calculi: A 4-year experience. Br J Urol. 1997;80:797-801.

7. Lim DJ, Walkder RD, Ellsworth PI. Treatment of pediatric urolithiasis between 1984 and 1994. J Urol. 1996;156:702-705.

8. Jayanathi VR, Amold PM, Koff SA. Strategies for managing uper tract calculi in young children. J Urol. 1999;162:1234-1237.

9. Thomas R, Ortenberg J, Lee BR, et al. Safety and efficacy of pediatric ureteroscopy for the management ofcalculous disease. J Urol. 1993;149;1082-1084.

10. Shroff S, Watson GM. Experience with ureteroscopy in children. Br J Urol. 1995:75:335-340.

11. Bassiri A, Ahmadnia H, Darabi, Mr, et. al. Transureteral lithotripsy in pediatric practice. J Endourol. 2002;16:257-260.

12. Van Savage JG, Palanca GP, Andersen RD, et al. Treatment ofdistal ureteral stones in children: similarities to the American Urological Association Guideliness in adults. J Urol. 2000;64:1089-1093.

13. Segura JW, Preminger GM, Assimos DG, et al. Ureteral stones Clinical Guidelines Panel Summary Report of the Management of Ureteral Calculi. J Urol. 1988;140:790-792.

14. Scarpa RM, De Lisa A, Porru D, Canetto A, Usai E: Ureterolithotripsy ín children. Urology. 1995:46:859-862.

15. LeRoy AJ, May GR, Segura JW, et al: Experience in the management of ureteral stones. BJU. 2003:89:792-797.

16. Wollin TA, Teichman JM, Rogenes VJ, et al: Holmium: YAG lithotripsy in children. J Urol. 1999;162:1717-1720.

17. Reddy PP, Barreiras DJ, Bagli DJ, et al: Initial experience with endoscopic holmium láser lithotripsy for pediatric urolithiasis. J Urol. 1999:162:1714-1716.