Micro-ureteroscopy for the treatment of distal ureteral calculi in children

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dc.contributor.authorUtangac, Mehmet Mazhar
dc.contributor.authorSancaktutar, Ahmet Ali
dc.contributor.authorTepeler, Abdulkadir
dc.date.accessioned2024-04-24T16:15:19Z
dc.date.available2024-04-24T16:15:19Z
dc.date.issued2017
dc.departmentDicle Üniversitesien_US
dc.description.abstractObjective: The objective of this study was to demonstrate the efficacy and safety of micro-ureteroscopy (microURS) in the management of distal ureteral stones in the pediatric population. Materials and Methods: A total of 11 children, who had undergone micro-URS between September 2015 and April 2016 with the indication of distal ureteral calculi in two referral centers, were retrospectively evaluated. The procedures were performed with the patient in the lithotomy position under general anesthesia using the standard URS technique with amicro-ureteroscope that has a caliber of 4.85 Fr all along its length. Demographics, perioperative data, and outcomes were assessed. Results: Right (n = 6) and left (n= 8) ureteral stones were detected in the respective number of patients. The mean age of the children was calculated as 55.1 months (range, 6-161 months). The median stone size was 10.5 mm (range, 6-24 mm). The median operative time was 36.8 min (range, 23-68 min). A double 3 stent was implanted in 3 of 11 patients because of severe edema. As a postoperative complication mild hematuria (Clavien grade 1) was observed in one case and resolved spontaneously. Intraoperative minor or major complication did not occur in any of the cases. The mean hospitalization time was determined as 21.4 h (range, 10-28 h). Stone-free status was accomplished in all patients in the final assessment. Conclusion: The outcomes of our series show that micro-URS can be used safely and effectively in the treatment of pediatric distal ureteral stones. Further prospective and comparative studies comparing instruments of different size are warranted. (C) 2017 Elsevier Inc. All rights reserved.en_US
dc.identifier.doi10.1016/j.jpedsurg.2016.11.032
dc.identifier.endpage516en_US
dc.identifier.issn0022-3468
dc.identifier.issn1531-5037
dc.identifier.issue3en_US
dc.identifier.pmid27912973en_US
dc.identifier.scopus2-s2.0-85007396834en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage512en_US
dc.identifier.urihttps://doi.org/10.1016/j.jpedsurg.2016.11.032
dc.identifier.urihttps://hdl.handle.net/11468/15757
dc.identifier.volume52en_US
dc.identifier.wosWOS:000397964100028
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherW B Saunders Co-Elsevier Incen_US
dc.relation.ispartofJournal of Pediatric Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectChildrenen_US
dc.subjectDistal Ureteral Calculien_US
dc.subjectUreteroscopyen_US
dc.subjectMiniaturizationen_US
dc.subjectEfficacyen_US
dc.subjectSafetyen_US
dc.titleMicro-ureteroscopy for the treatment of distal ureteral calculi in childrenen_US
dc.typeArticleen_US

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