[Pediatric endourology].
OBJECTIVE
To assess the outcome of pediatric patients treated by an endourological approach for various urinary tract pathologies.


METHODS
Thirty-seven children (median age 5 years, range 0.3-14 years) were endoscopically treated for ureteropelvic junction obstruction (UPJO) (n= 6), ureteral strictures (n=5), upper urinary tract calculi (n=21) and bladder calculi (n = 5).


RESULTS
Upper urinary tract calculi were approached by ureteroscopy (n=12), retrograde intrarenal surgery (n=6) and percutaneous nephrolithotomy (n = 3). The average stone burden was 11 mm (range 5-35 mm) and operative time was 40 minutes (range 15-120 minutes). Bladder calculi were treated percutaneously in 3 cases and transurethrally in 2 cases for an average stone burden of 34 mm (range 7-120 mm). The overall stone-free rate after one procedure was 96%. UPJOs were retrogradely approached in an average operative time of 40 minutes (range 30-50 minutes). Successful clinical and functional outcome was maintained after an average follow-up of 15 months (range 6-30 months). The 5 ureteral strictures included 2 located in the middle ureter and 3 at the ureterovesical junction. The success rate in this group was 80% and the average follow-up 24 months (range 6-40 months). The median hospitalization time for the entire series was 1 day (range 0-7 days). There were no intraoperative complications. Three (8%) patients developed post-operative urinary tract infections. Delayed anterior urethral stricture occurred in 1 case. No additional complications occurred after an average follow-up of 11 months (range 4-36 months).


CONCLUSIONS
Endourology in children is safe and highly effective. It appears that the indications for endourological treatment in children emulate those of adults.
Sofer
Mario
M
Department of Urology and Paediatric Urology Unit, Tel Aviv Sourasky Medical Center, Tel Aviv. mariosofer@hotmail.com
Keren-Paz
Gal
G
Beniamyni
Joseph
J
Bar-Yosef
Yuval
Y
Matzkin
Haim
H
Ben-Chaim
Jacob
J
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D006801:Humans; D007223:Infant; D007669:Kidney Calculi / Q000601:surgery; D007902:Length of Stay; D016896:Treatment Outcome; D014514:Ureteral Calculi / Q000601:surgery; D014517:Ureteral Obstruction / Q000601:surgery*; D001744:Urinary Bladder Calculi / Q000601:surgery; D014545:Urinary Calculi / Q000145:classification / Q000601:surgery*