Safety and Efficacy of Percutaneous Nephrolithotomy in Treatment of Renal Stones in Children
Ahmad Mohammad Al-Shahat Badran;
Abstract
SUMMARY
R
enal stone disease in children is uncommon and causes a clinical management dilemma due to the size of the urinary tract in children and risk of recurrence.
The majority of renal stones are due to metabolic disorders or urinary tract infections with a consequently high lifetime risk of recurrence (Wah et al., 2013).
In the past, open surgery was the only treatment modality available to children, despite its related morbidities. New technologies have been offered for the management of renal stone disease in children. In 1986, extracorporeal shockwave lithotripsy (ESWL) was first introduced in children and it is now used as the first-line treatment for children presenting with renal stones (Newman et al., 1986). However, ESWL is usually not suitable for a large stone burden, such as a ‘‘Staghorn’’ stones, and sometimes ESWL fails to fragment some stones with very high density, which would then indicate surgical intervention. Percutaneous nephrolithotomy (PCNL) is a well-established technique in adults (Woodside et al., 1985).
R
enal stone disease in children is uncommon and causes a clinical management dilemma due to the size of the urinary tract in children and risk of recurrence.
The majority of renal stones are due to metabolic disorders or urinary tract infections with a consequently high lifetime risk of recurrence (Wah et al., 2013).
In the past, open surgery was the only treatment modality available to children, despite its related morbidities. New technologies have been offered for the management of renal stone disease in children. In 1986, extracorporeal shockwave lithotripsy (ESWL) was first introduced in children and it is now used as the first-line treatment for children presenting with renal stones (Newman et al., 1986). However, ESWL is usually not suitable for a large stone burden, such as a ‘‘Staghorn’’ stones, and sometimes ESWL fails to fragment some stones with very high density, which would then indicate surgical intervention. Percutaneous nephrolithotomy (PCNL) is a well-established technique in adults (Woodside et al., 1985).
Other data
| Title | Safety and Efficacy of Percutaneous Nephrolithotomy in Treatment of Renal Stones in Children | Other Titles | تقييم مدى أمان و كفاءة استخدام منظار الكلى في علاج حصوات الكلى في الأطفال | Authors | Ahmad Mohammad Al-Shahat Badran | Issue Date | 2018 |
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