Our experience with percutaneous nephrolithotomy in pediatric renal stone disease.
OBJECTIVE
In this paper, we present our experience with percutaneous nephrolithotomy (PNL) in a pediatric patient group.


METHODS
From June 2007 to September 2010, we performed PNL on 57 pediatric patients. children with a mean age of 7.56 (1-15) years.


RESULTS
Study population consisted of 30 male, and 27 female children with a mean age of 7.56 (1-5) years. Mean stone burden was calculated to be 312.2 (95-1550) mm(2). Percutaneous access was performed under fluoroscopy. Tract dilatation was accomplished with 20 F Amplatz dilators. Pneumatic lithotripsy was used to fragment the renal calculi. Mean operating time was 34 (3-80) minutes. With a single session of PNL, complete stone-free rates were achieved in 55 (96.4%) patients. Residual fragments were remained in 2 (3.5%) patients. Two patients had a febrile episode without signs and symptoms of bacteremia. Subcostal access was used in all of the patients, and none of the patients had any complications.


CONCLUSIONS
Based on our experience, we conclude that PNL is a safe and effective method in the management of pediatric stone disease.
Clinic of Urology, Ankara Sincan Community Hospital, Ministry of Health, Ankara, Turkey.
İlknur
İ
Oral
Clinic of Urology, Ankara Yenimahalle Community Hospital, Ministry of Health, Ankara, Turkey.
İsmail
İ
Nalbant
Clinic of Urology, Ankara Dışkapı Yıldırım Beyazıt Teaching and Research Hospital, Ministry of Health, Ankara, Turkey.
Ufuk
U
Öztürk
Clinic of Urology, Ankara Dışkapı Yıldırım Beyazıt Teaching and Research Hospital, Ministry of Health, Ankara, Turkey.
Nevzat
N
Can Şener
Department of Urology, Gazi University Faculty of Medicine, Ankara, Turkey.
Süleyman
S
Yeşil
Clinic of Urology, Ankara Dışkapı Yıldırım Beyazıt Teaching and Research Hospital, Ministry of Health, Ankara, Turkey.
H N
HN
Göksel Göktuğ
Clinic of Urology, Ankara Dışkapı Yıldırım Beyazıt Teaching and Research Hospital, Ministry of Health, Ankara, Turkey.
M
M
Abdurrahim İmamoğlu
Pediatric patient; percutaneous nephrolithotomy; urolithiasis