PMID- 27843213
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20200930
IS  - 0970-1591 (Print)
IS  - 1998-3824 (Electronic)
IS  - 0970-1591 (Linking)
VI  - 32
IP  - 4
DP  - 2016 Oct-Dec
TI  - Pediatric retrograde intra-renal surgery for renal stones <2 cm in solitary 
      kidney.
PG  - 296-300
AB  - INTRODUCTION: Management of renal stones in children with a solitary kidney is a 
      challenge. In the current study, the efficacy and safety of retrograde intrarenal 
      surgery (RIRS) in these children were determined. PATIENTS AND METHODS: Records 
      of children with renal stones who were treated at our institute between August 
      2011 and August 2014 were retrospectively assessed. Inclusion criteria were: 
      Children with single renal stone <2 cm size, in a solitary kidney. A 7.5 Fr 
      flexible ureteroscope (FURS) was introduced into the ureter over a hydrophilic 
      guidewire under visual and fluoroscopic guidance - applying a back-loading 
      technique. The stone was completely dusted using 200 mum laser fiber (0.2-0.8 
      joules power and 10-30 Hz frequency). At the end of the maneuver, a 5 Fr JJ stent 
      was inserted into the ureter. The children were discharged home 24 h 
      postoperative - provided that no complications were detected. RESULTS: Fourteen 
      children (3 girls and 11 boys) with median age 9.5 years (range 6-12) were 
      included. The mean stone burden was 12.2 +/- 1.5 mm (range 9-20). Stones were 
      successfully accessed in all of the cases by the FURS except for 2 cases in whom 
      a JJ stent was inserted into the ureter and left in place for 2 weeks to achieve 
      passive dilatation. All of the stones were dusted completely. The immediate 
      postoperative stone-free rate (SFR) was 79%, and the final SFR was 100% after 3 
      weeks. No intraoperative complications were observed. CONCLUSIONS: RIRS for renal 
      stone <2 cm in children with a solitary kidney is a single-session procedure with 
      a high SFR, low complication rate, and is a minimally invasive, natural orifice 
      technique.
FAU - Gamal, Wael Mohamed
AU  - Gamal WM
AD  - Department of Urology, Sohag University Hospital, Sohag, Egypt.
FAU - Hussein, Mohamed M
AU  - Hussein MM
AD  - Department of Urology, Sohag University Hospital, Sohag, Egypt.
FAU - Rashed, El Nisr
AU  - Rashed EN
AD  - Department of Urology, Sohag University Hospital, Sohag, Egypt.
FAU - Mohamed, Al-Dahshoury
AU  - Mohamed AD
AD  - Department of Urology, Sohag University Hospital, Sohag, Egypt.
FAU - Mmdouh, Ahmed
AU  - Mmdouh A
AD  - Department of Urology, Sohag University Hospital, Sohag, Egypt.
FAU - Fawzy, Farag
AU  - Fawzy F
AD  - Department of Urology, Sohag University Hospital, Sohag, Egypt.
LA  - eng
PT  - Journal Article
PL  - India
TA  - Indian J Urol
JT  - Indian journal of urology : IJU : journal of the Urological Society of India
JID - 8510441
PMC - PMC5054661
OTO - NOTNLM
OT  - Pediatric
OT  - solitary kidney
OT  - stone
EDAT- 2016/11/16 06:00
MHDA- 2016/11/16 06:01
PMCR- 2016/10/01
CRDT- 2016/11/16 06:00
PHST- 2016/11/16 06:00 [entrez]
PHST- 2016/11/16 06:00 [pubmed]
PHST- 2016/11/16 06:01 [medline]
PHST- 2016/10/01 00:00 [pmc-release]
AID - IJU-32-296 [pii]
AID - 10.4103/0970-1591.189723 [doi]
PST - ppublish
SO  - Indian J Urol. 2016 Oct-Dec;32(4):296-300. doi: 10.4103/0970-1591.189723.