Safety and Efficacy of Ultrasound-guided Percutaneous Nephrolithotomy for Treatment of Urinary Stone Disease in Children

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dc.contributor.authorPenbegül, Necmettin
dc.contributor.authorTepeler, Abdulkadir
dc.contributor.authorSancaktutar, Ahmet Ali
dc.contributor.authorBozkurt, Yasar
dc.contributor.authorAtar, Murat
dc.contributor.authorYildirim, Kadir
dc.contributor.authorSoylemez, Haluk
dc.date.accessioned2024-04-24T16:18:34Z
dc.date.available2024-04-24T16:18:34Z
dc.date.issued2012
dc.departmentDicle Üniversitesien_US
dc.description.abstractOBJECTIVE To present the feasibility and efficacy of ultrasound-guided percutaneous nephrolithotomy for the treatment of urinary stone disease in children. METHODS The medical records and files of 17 patients with renal stones (17 renal units) who were aged <= 16 years who had undergone ultrasound-guided percutaneous nephrolithotomy from 2008 to 2010 were retrospectively reviewed and analyzed. Ultrasonography was used for guidance in all patients in every step of the procedure. Fluoroscopy was used to aid in tract dilation in the initial cases of the series and to evaluate for stone clearance in all cases. The operative and postoperative findings were assessed. RESULTS The average age of the patients was 8.8 +/- 2.86 years (range 5-15). The mean stone size was calculated as 337.4 +/- 52.9 mm(2) (range 260-446). The mean operative time was 67.9 +/- 14.58 minutes (range 45-95). Fever, urine leakage, and bleeding requiring blood transfusion were observed in 3, 1, and 1 patient, respectively. The fluoroscopic screening time was limited to 17.76 +/- 15.5 seconds (range 1-54). Neighboring organ injuries were not observed. The overall success rate improved from 82.35% to 100% with additional treatment modalities (shock wave lithotripsy in 2 and ureteroscopy in 1). CONCLUSION Percutaneous nephrolithotomy can be safely performed with ultrasound guidance in children, providing the advantages of less radiation exposure, no adjacent organ injury, and similar success and complication rates compared with fluoroscopic guidance. UROLOGY 79: 1015-1019, 2012. (C) 2012 Elsevier Inc.en_US
dc.identifier.doi10.1016/j.urology.2011.10.059
dc.identifier.endpage1019en_US
dc.identifier.issn0090-4295
dc.identifier.issn1527-9995
dc.identifier.issue5en_US
dc.identifier.pmid22196411
dc.identifier.scopus2-s2.0-84860468858
dc.identifier.scopusqualityQ2
dc.identifier.startpage1015en_US
dc.identifier.urihttps://doi.org/10.1016/j.urology.2011.10.059
dc.identifier.urihttps://hdl.handle.net/11468/16177
dc.identifier.volume79en_US
dc.identifier.wosWOS:000303470600017
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherElsevier Science Incen_US
dc.relation.ispartofUrology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subject[No Keyword]en_US
dc.titleSafety and Efficacy of Ultrasound-guided Percutaneous Nephrolithotomy for Treatment of Urinary Stone Disease in Childrenen_US
dc.titleSafety and Efficacy of Ultrasound-guided Percutaneous Nephrolithotomy for Treatment of Urinary Stone Disease in Children
dc.typeArticleen_US

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