Ureteroscopy in Children-A Single Centre Study from a Developing Country

N. Iqbal, Nizam Farid Chishti, S. Iqbal, S. Ali, Amgad Farouk, Ijaz, Hussain, Usama Bin Saif, Ahsan Nazar, Saeed Akhter
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Abstract

Urolithiasis in pediatric age group is comparatively rare having an overall incidence of almost less than 3% [1]. Pakistan has high prevalence rate of renal stones reaching up to 10% [2]. Among various factors infection is supposed to be one of the leadingcausative factor for urolithiasis in pediatric age group [3].Proper management of urolithiasis depends on location and size and of the stone, age of the patient and the urinary tract anatomy. During the last few decades, a wide range of modalities such as extracorporeal shock wave lithotripsy (ESWL), percutaneous nephrolithotomy (PCNL), ureterorenoscopy (URS), open and laparoscopic surgery has been available for treating adult stone diseases[4,5]. Most of these available techniques evolved in adult population and were adapted for use in children after doing appropriate modifications. Applying one or a combination of these modalities in carefully selected patient can help in successful management stones even in pediatric population.
儿童输尿管镜检查——来自发展中国家的单中心研究
小儿年龄段尿石症相对少见,总体发病率几乎不到3%[1]。巴基斯坦肾结石患病率高,高达10%[2]。在众多因素中,感染被认为是儿童年龄段尿石症的主要病因之一[3]。尿石症的适当处理取决于结石的位置和大小、患者的年龄和泌尿道解剖结构。在过去的几十年里,广泛的治疗方式,如体外冲击波碎石术(ESWL)、经皮肾镜取石术(PCNL)、输尿管镜检查(URS)、开放和腹腔镜手术已可用于治疗成人结石疾病[4,5]。这些技术大多是在成年人中发展起来的,经过适当的修改后适用于儿童。在精心挑选的患者中应用一种或结合这些方式可以帮助成功管理结石,甚至在儿科人群中也是如此。
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