title: Application of Pneumatic Lithotripter and Holmium Laser in the Treatment of Ureteral Stones and Kidney Stones in Children.
abstract: Objective.Treatment options for urolithiasis in children include URSL and RIRS. Various types of energy are used in the disintegration of deposits in these procedures. We decided to evaluate the usefulness of URSL and RIRS techniques and compare the effectiveness of pneumatic lithotripters and holmium lasers in the child population based on our experience.Materials and Methods.One hundred eight (108) children who underwent URSL and RIRS procedures were enrolled in the study and divided into two (2) groups according to the type of energy used: pneumatic lithotripter versus holmium laser. We evaluated the procedures' duration and effectiveness according to the stone-free rate (SFR) directly after the procedure and after fourteen (14) days and the rate of complications.Results.The mean operative time was shorter in the holmium laser group. A higher SFR was observed in the holmium laser but it was not statistically significant in the URSL and RIRS procedures. The rate of complications was similar in both groups.Conclusions.The URSL and RIRS procedures are highly efficient and safe methods. The use of a holmium laser reduces the duration of the procedure and increases its effectiveness in comparison with the use of a pneumatic lithotripter.
authors.affiliation: Department of Urology, School of Medicine with the Division of Dentistry in Zabrze, Medical University of Silesia, Katowice, Poland.
authors.forename: Marcin
authors.identifier: 0000-0001-9566-7948
authors.initials: M
authors.lastname: Życzkowski
authors.affiliation: Department of Urology, School of Medicine with the Division of Dentistry in Zabrze, Medical University of Silesia, Katowice, Poland.
authors.forename: Rafał
authors.identifier: 0000-0002-2698-5413
authors.initials: R
authors.lastname: Bogacki
authors.affiliation: Department of Urology, School of Medicine with the Division of Dentistry in Zabrze, Medical University of Silesia, Katowice, Poland.
authors.forename: Krzysztof
authors.identifier: 0000-0003-1453-5164
authors.initials: K
authors.lastname: Nowakowski
authors.affiliation: Department of Urology, School of Medicine with the Division of Dentistry in Zabrze, Medical University of Silesia, Katowice, Poland.
authors.forename: Bartosz
authors.identifier: 0000-0002-2848-1921
authors.initials: B
authors.lastname: Muskała
authors.affiliation: Department of Urology, School of Medicine with the Division of Dentistry in Zabrze, Medical University of Silesia, Katowice, Poland.
authors.forename: Paweł
authors.identifier: 0000-0003-4073-6584
authors.initials: P
authors.lastname: Rajwa
authors.affiliation: Department of Urology, School of Medicine with the Division of Dentistry in Zabrze, Medical University of Silesia, Katowice, Poland.
authors.forename: Piotr
authors.identifier: 0000-0002-7203-9006
authors.initials: P
authors.lastname: Bryniarski
authors.affiliation: Department of Urology, School of Medicine with the Division of Dentistry in Zabrze, Medical University of Silesia, Katowice, Poland.
authors.forename: Andrzej
authors.identifier: 0000-0003-1742-8372
authors.initials: A
authors.lastname: Paradysz
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D057186:Comparative Effectiveness Research; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007669:Kidney Calculi / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods; D053844:Lasers, Solid-State; D008096:Lithotripsy / Q000295:instrumentation* / Q000379:methods; D008297:Male; D061646:Operative Time; D012189:Retrospective Studies; D016896:Treatment Outcome; D018666:Ureteroscopy / Q000379:methods*; D014551:Urinary Tract / Q000473:pathology