Endoscopic management of pediatric urolithiasis in a developing country

E. Holman, A. Munim Khan, Tibor Flasko, Csaba Toth, M. Salah

Research output: Contribution to journalArticle

39 Citations (Scopus)

Abstract

Objectives. To evaluate our experience with the endoscopic management of lower and upper urinary tract stones in pediatric patients in the Republic of Yemen. Methods. From January 1, 1993 to December 31, 1998, 290 endoscopic operations were performed on 265 pediatric patients up to 14 years of age, 173 on the upper and 117 on the lower urinary tract. Of these procedures, 138 were percutaneous nephrolithotomy, 5 were endopyelotomy combined with percutaneous nephrolithotomy, 30 were ureteral lithotripsy, and 117 were percutaneous cystolithotomy. Of the 265 patients, 244 were boys and 21 girls (male/female ratio 11.6:1, upper tract 7.4:1, lower tract 116:1) aged 8 months to 14 years (mean age 7.1 years). The 26F adult nephroscope and 9.5F semirigid ureteroscope were used. Results. The overall success rate was 98.9%. Minor complications were observed in 29 patients (10.7%); severe complication did not occur. The nucleus and/or the main component of the stones was ammonium urate in 73.5% of the cases (upper tract 54%, but for those younger than 5 years, it was 75%; lower tract 93%). Conclusions. The endoscopic management of pediatric urolithiasis is a safe and effective method. To our knowledge, this is the largest reported series on the endoscopic management of pediatric urolithiasis.

Original languageEnglish
Pages (from-to)159-162
Number of pages4
JournalUrology
Volume63
Issue number1
DOIs
Publication statusPublished - Jan 2004

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Urolithiasis
Developing Countries
Pediatrics
Percutaneous Nephrostomy
Ureteroscopes
Yemen
Urinary Calculi
Lithotripsy
Uric Acid
Urinary Tract
Ammonium Compounds

ASJC Scopus subject areas

  • Urology

Cite this

Endoscopic management of pediatric urolithiasis in a developing country. / Holman, E.; Khan, A. Munim; Flasko, Tibor; Toth, Csaba; Salah, M.

In: Urology, Vol. 63, No. 1, 01.2004, p. 159-162.

Research output: Contribution to journalArticle

Holman, E. ; Khan, A. Munim ; Flasko, Tibor ; Toth, Csaba ; Salah, M. / Endoscopic management of pediatric urolithiasis in a developing country. In: Urology. 2004 ; Vol. 63, No. 1. pp. 159-162.
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