ISSN 2415-1297 (Online)   ISSN 2415-1300 (Print)
 
             
 
Volume : 26 Issue : 3 Year : 2018
 
Effectiveness of Holmium Laser Therapy Together with 7Fr Ureterorenoscopy in Preschool Children [Med J Islamic World Acad Sci]
Med J Islamic World Acad Sci. 2018; 26(3): 65-69 | DOI: 10.5505/ias.2018.79989  

Effectiveness of Holmium Laser Therapy Together with 7Fr Ureterorenoscopy in Preschool Children

Mehmet Özgür Yücel, Ali Çift, Can Benlioğlu
Department Of Urology, Adıyaman University, Adıyaman, Turkey

Purpose: We aimed to evaluate the success of semirigid (7 Fr) ureterorenoscope used in our clinic in the treatment of ureteral stone in pre-school children (0-6 years)
Materials and Methods: Between January 2012 and February 2018, 36 patients who underwent endoscopic ureteral stone treatment for ureteral stone in our clinic were retrospectively evaluated. During the procedure, 7 Fr semirigid ureterorenoscope and were used holmium: YAG laser as lithotripter. The evaluation of the stone-free rates of the patients was done visually during the fragmentation and 1 month later by the urinary ultrasonography.
Results: The mean age of the patients was 37.5 months. Of the patients, 55.6% were male and 44.4% were female. Stone localization was 58.3% distal ureter, 16.7% middle ureter and 25% proximal ureter. After the first ureterorenoscopy procedure stone-free rate was 58.3%. During the first ureterorenoscopy procedure, 38.9% patients were admitted with DJ stent, which could not reach intra-operative stones. After 1 month, 2nd session ureterorenoscopy was performed. During the first ureterorenoscopy procedure, ureteral perforation developed in 2.8% of the patients. Ureterolithotomy was performed with open surgery. After the first and second ureterorenoscopy procedures, the stone-free rate was 97.2%. In the early postoperative period, slight bleeding in 2 patients and high fever (> 38.5 °C) in 4 patients was observed. Mean hospital stay was 2.3 days.
Conclusion: Endoscopic ureteral stone treatment with 7 Fr ureterorenoscopy can be safely performed in preschool age group with high success and low complication rates even in very young children.

Keywords: Children, ureteral stones, ureterorenoscopy, Holmium: YAG laser


Mehmet Özgür Yücel, Ali Çift, Can Benlioğlu. Effectiveness of Holmium Laser Therapy Together with 7Fr Ureterorenoscopy in Preschool Children. Med J Islamic World Acad Sci. 2018; 26(3): 65-69

Corresponding Author: Mehmet Özgür Yücel, Türkiye


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