title: Are Adult Ureteroscopes Safe in the Management of Urolithiasis in a Pediatric Population?
abstract: BACKGROUND
  Debate remains regarding the optimal caliber of ureteroscopes in the management of pediatric urolithiasis, ranging from pediatric scopes to standard scopes. The aim of this study was to assess the safety and efficacy of stone management in a pediatric population using standard adult ureteroscopes.
  
  
  METHODS
  A retrospective review of all ureteroscopic procedures in patients under the age of 16 years was carried out. Standard adult 7.5 French semi-rigid and 6 French flexible ureteroscopes were used.
  
  
  RESULTS
  During the study period, 8 patients underwent 21 ureteroscopic procedures. Two patients had rigid ureteroscopy, seven had flexible ureterorenoscopy and one had a subsequent open procedure. No patients required ureteric dilation. Double J ureteric stents were utilized in 7 patients. There were no complications. All patients required extra corporeal shock wave lithotripsy. Stone clearance was achieved in all patients.
  
  
  CONCLUSIONS
  Our series demonstrates that, in skilled hands, adult ureteroscopes can be use safely for the treatment of urolithiasis in pediatric patients.
authors.affiliation: Department of Urology, University Hospital Limerick, Limerick, Ireland.
authors.forename: Gregory J
authors.initials: GJ
authors.lastname: Nason
authors.affiliation: Department of Urology, University Hospital Limerick, Limerick, Ireland.
authors.forename: Rebecca
authors.initials: R
authors.lastname: Headon
authors.affiliation: Department of Urology, University Hospital Limerick, Limerick, Ireland.
authors.forename: Matthew J
authors.initials: MJ
authors.lastname: Burke
authors.affiliation: Department of Urology, University Hospital Limerick, Limerick, Ireland.
authors.forename: Asadullah
authors.initials: A
authors.lastname: Aslam
authors.affiliation: Department of Urology, University Hospital Limerick, Limerick, Ireland.
authors.forename: Michael E
authors.initials: ME
authors.lastname: Kelly
authors.affiliation: Department of Urology, University Hospital Limerick, Limerick, Ireland.
authors.forename: Subhasis K
authors.initials: SK
authors.lastname: Giri
authors.affiliation: Department of Urology, University Hospital Limerick, Limerick, Ireland.
authors.forename: Hugh D
authors.initials: HD
authors.lastname: Flood
keywords: Paediatric urolithiasis; Ureteroscopy; Urolithiasis