https://doi.org/10.4081/aiua.2021.1.26

Rigid and flexible ureteroscopy (URS/RIRS) management of paediatric urolithiasis in a not endemic country

Vol. 93 No. 1 (2021)
Submitted: September 8, 2020
Accepted: October 27, 2020
Published: March 18, 2021
Flexible ureterescopy, Paediatric stone disease, RIRS, Laser lithotripsy
Abstract Views: 1856
PDF: 3219
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Authors

Stefania Ferretti
Urology Unit, University-Hospital of Parma, Italy.
Monica Cuschera
Urology Unit, University-Hospital of Parma, Italy.
Davide Campobasso
Urology Unit, Hospital of Guastalla, Azienda USL-IRCCS of Reggio Emilia, Italy.
Claudia Gatti
Paediatric Surgery Unit, University-Hospital of Parma, Italy.
Riccardo Milandri
riccardomilandri85@gmail.com
http://orcid.org/0000-0002-5034-7948
Urology Unit, University-Hospital of Parma, Italy.
Tommaso Bocchialini
Urology Unit, University-Hospital of Parma, Italy.
Elisa Simonetti
Urology Unit, University-Hospital of Parma, Italy.
Pietro Granelli
Urology Unit, University-Hospital of Parma, Italy.
Antonio Frattini
Urology Unit, Hospital of Guastalla, Azienda USL-IRCCS of Reggio Emilia, Italy.
Umberto Vittorio Maestroni
Urology Unit, University-Hospital of Parma, Italy.

Introduction: In the last years due to miniaturization of endoscopic instruments and percutaneous surgery, endourology has become very popular in paediatric urinary stone managment. We reported our single-centre experience in retrograde endoscopic procedures in children. Results and complications of URS/RIRS are discussed.
Materials and methods: We retrospectively reviewed our experience in patients ≤ 16 years old affected by urinary stones who underwent URS/RIRS procedures performed by two surgeons with expertise in endourology. A total of 30 renal Units (RUs) underwent endoscopic procedures (URS, RIRS or both). Surgical complications according to the ClavienDindo’s classification and stone-free rate were evaluated at 3 months follow-up. Success of URS was defined as stone-free status after single procedure while RIRS success rate was considered as presence of residual stone fragments smaller than 4 mm at first procedure.
Results: The mean age of our patients was 8 years, range 2- 16 years. A total of 30 renal units (RUs) underwent 40 endourological procedures (23 URS and 17 RIRS; 10 children underwent both procedures at the same time). 17/30 (56.6%) RUs were pre-stented before surgery. The stone-free status was achieved in 23/30 renal units treated, with a 76.6% success rate. The remaining 7 patients had residual stones greater than 4 mm and underwent further treatments. After a second surgery the stone-free rate turned out to be 93.3% (28/30 renal units).
Conclusions: Rigid and flexible ureteroscopy (URS/RIRS) is a reliable technique for treatment of < 2 cm urinary stones in paediatric age group. It shows low rate of major complications and promising results in terms of stone-free rate.

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How to Cite

Ferretti, S., Cuschera, M., Campobasso, D., Gatti, C., Milandri, R., Bocchialini, T., Simonetti, E., Granelli, P., Frattini, A., & Maestroni, U. V. (2021). Rigid and flexible ureteroscopy (URS/RIRS) management of paediatric urolithiasis in a not endemic country. Archivio Italiano Di Urologia E Andrologia, 93(1), 26–30. https://doi.org/10.4081/aiua.2021.1.26

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