Simultaneous bilateral percutaneous nephrolithotomy in children

Morshed A. Salah, Béla Tállai, Endre Holman, Munim A. Khan, György Tóth, Csaba Tóth

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

OBJECTIVE: To evaluate the efficacy of removing bilateral kidney stones simultaneously from children, in one session. PATIENTS AND METHODS: Thirteen patients (three girls and 10 boys, 26 kidneys; mean age 8 years, range 3-14) underwent simultaneous bilateral percutaneous nephrolithotomy (PCNL) in the same session, under general anaesthesia, starting with ureteric catheter insertion into both kidneys and using a 26 F adult nephroscope. The mean (range) stone diameter was 2 (1-3.5) cm. Three patients had staghorn stones in one of their kidneys. Ultrasonic disintegration was used; two patients had bilateral and two others unilateral endopylotomy, and one patient had percutaneous suprapubic cystolithotomy in the same session. The mean (range) operative duration was 65 (55-90) min. RESULTS: All patients were rendered stone-free; there was no severe bleeding or any other complication. On one side in one of the patients, a second session was needed because of residual stone. The nephrostomy tubes were removed 3 and 4 days after PCNL and the hospital stay was 6 (1-11) days. CONCLUSION: The advantages of simultaneous bilateral PCNL are reduced psychological stress, one cystoscopy and anaesthesia, less medication and a shorter hospital stay and convalescence, with considerable savings in cost. In experienced hands this method can be used not only in adults but also in children. To our knowledge this is the only report of this technique in children.

Original languageEnglish
Pages (from-to)137-139
Number of pages3
JournalBJU International
Volume95
Issue number1
DOIs
Publication statusPublished - Jan 1 2005

Keywords

  • Outcome
  • Paediatric
  • Simultaneous PCNL
  • Urolithiasis

ASJC Scopus subject areas

  • Urology

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