Effectiveness of ureteroscopy among the youngest patients: One centre's experience in an endemic region in Turkey

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dc.contributor.authorUtangac, Mehmet Mazhar
dc.contributor.authorDaggulli, Mansur
dc.contributor.authorDede, Onur
dc.contributor.authorSancaktutar, Ahmet Ali
dc.contributor.authorBozkurt, Yasar
dc.date.accessioned2024-04-24T16:15:21Z
dc.date.available2024-04-24T16:15:21Z
dc.date.issued2017
dc.departmentDicle Üniversitesien_US
dc.description.abstractBackground In recent years, the incidence of urinary stone disease reportedly has been increasing. The use of shockwave lithotripsy has seen low success rates, the inefficacy of a single session, and the need for general anaesthesia in children; additionally, children are exposed to radiation. These suboptimal treatment conditions have all led to ureteroscopy (URS) becoming the treatment method of choice for paediatric ureter stones. The aim of this study is to examine the effectiveness of 4.5-Fr URS when used on children younger than 1 year of age. Patients and methods The operation results of 34 patients (12 girls and 22 boys) who had undergone intervention for ureter stones at our clinic were retrospectively evaluated. For URS, a 4.5-Fr semi-rigid ureteroscope was used; a Holmium: YAG laser machine was used as a lithotripter. Result The mean patient age was 9.6 months (range 4-12 months) (Table). The mean stone surface area was 25.39 mm2 (range 11.84-84.78 mm(2)). In six cases, a ureteral catheter was inserted, because of minimal oedema in the ureters; in nine cases, a Double J (DJ) stent was inserted. The mean operation time was 45.3 min (range 22-87 min). In the first week of control with urinary ultrasonography and kidney-ureter and bladder radiograph, a stone-free condition was determined in 28 (82.3%) patients. In two cases-in which sufficient fragmentation could not be achieved, because of minimal bleeding during operation-during the exertion of a DJ stent, another URS was performed. In the first postoperative month, a stone-free condition was established in 32 (94.1%) patients. The mean hospital stay period was 28.6 h (range 12-72 h). There were seven cases (20.5%) with Clavien II-III complications. Conclusion Use of a ureteroscope is safe and effective with paediatric patients: we found that a 4.5-Fr ureteroscope can be safely used on children under 1 year of age. We therefore consider a 4.5-Fr ureteroscopic instrument to be an appropriate tool for treating URS in children within this age range.en_US
dc.identifier.doi10.1016/j.jpurol.2016.10.016
dc.identifier.issn1477-5131
dc.identifier.issn1873-4898
dc.identifier.issue1en_US
dc.identifier.pmid28012707
dc.identifier.scopus2-s2.0-85008210256
dc.identifier.scopusqualityQ2
dc.identifier.urihttps://doi.org/10.1016/j.jpurol.2016.10.016
dc.identifier.urihttps://hdl.handle.net/11468/15770
dc.identifier.volume13en_US
dc.identifier.wosWOS:000395935900016
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherElsevier Sci Ltden_US
dc.relation.ispartofJournal of Pediatric Urology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectUreteral Stoneen_US
dc.subjectInfanten_US
dc.subjectUreteroscopyen_US
dc.titleEffectiveness of ureteroscopy among the youngest patients: One centre's experience in an endemic region in Turkeyen_US
dc.titleEffectiveness of ureteroscopy among the youngest patients: One centre's experience in an endemic region in Turkey
dc.typeArticleen_US

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