EFFICACY AND SAFETY OF PEDIATRIC URETEROSCOPY IN THE TREATMENT OF URETERIC CALCULI IN CHILDREN

Abstract

Background:To evaluate the efficacy and safety of pediatric ureteroscopy and Holmium: YAG laser lithotripsy in the management of ureteric calculi in children. Patients and Methods:A Prospective study of 49 children (age ranged 2 ureteric calculi underwent ureteroscopy with a semi Holmium:YAG laser lithotripsy. The stone size ranged from 4 KUB, IVU and CT scan in some cases. All the procedures were done under general anaesthesia and on lithotomy position, and JJ stents inserted at the end of the procedure. Results:Of 49 patients, 43 patients were stone free after first ureteroscopic lithotripsy and after a second ureteroscopy in five patients, one patient developed ureteric injury and treated with open ureterolithotomy.Postcases with fever, 3 with gross hematuria and one with urinary extravasation due perforation. Conclusions:Ureteroscopy and Ho:YAG laser lithotripsy is an effective and relatively safe in the treatment of pediatric ureteric calculi.