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Ureteroscopy for stone disease in the paediatric population: a systematic review

Ureteroscopy for stone disease in the paediatric population: a systematic review
Ureteroscopy for stone disease in the paediatric population: a systematic review

The aim of the present review was to look at the role of ureteroscopy (URS) for treatment of paediatric stone disease. We conducted a systematic review using studies identified by a literature search between January 1990 and May 2013. All English-language articles reporting on a minimum of 50 patients aged ≤ 18 years treated with URS for stone disease were included. Two reviewers independently extracted the data from each study. A total of 14 studies (1718 procedures) were reported in patients with a mean (range) age of 7.8 (0.25-18.0) years. The mean (range) stone burden was 9.8 (1-30) mm and the mean (range) stone-free rate (SFR) 87.5 (58-100)% with initial therapeutic URS. The majority of these stones were in the ureter (n = 1427, 83.4%). There were 180 (10.5%) Clavien I-III complications and 38 cases (2.2%) where there was a failure to complete the initial ureteroscopic procedure and an alternative procedure was performed. To assess the impact of age on failure rate and complications, studies were subcategorized into those that included children with either a mean age <6 years (four studies, 341 procedures) or a mean age >6 years. (10 studies, 1377 procedures). A higher failure rate (4.4 vs 1.7%) and a higher complication rate (24.0 vs 7.1%) were observed in children whose mean age was <6 years. URS for paediatric stone disease is a relatively safe procedure with a reasonably good SFR, but there seems to be a higher failure and complication rate in children aged <6 years.

Adolescent, Age Factors, Child, Child, Preschool, Female, Humans, Infant, Male, Pediatrics, Ureteral Calculi, Ureteroscopy, Journal Article, Review
1464-4096
867-873
Ishii, Hiro
d2dd0ce3-0ccd-4cb4-8aa1-f6d363e29b90
Griffin, Stephen
49c409b7-ee50-4809-b6b8-d5e192ff7424
Somani, Bhaskar K.
ab5fd1ce-02df-4b88-b25e-8ece396335d9
Ishii, Hiro
d2dd0ce3-0ccd-4cb4-8aa1-f6d363e29b90
Griffin, Stephen
49c409b7-ee50-4809-b6b8-d5e192ff7424
Somani, Bhaskar K.
ab5fd1ce-02df-4b88-b25e-8ece396335d9

Ishii, Hiro, Griffin, Stephen and Somani, Bhaskar K. (2015) Ureteroscopy for stone disease in the paediatric population: a systematic review. BJU International, 115 (6), 867-873. (doi:10.1111/bju.12927).

Record type: Review

Abstract

The aim of the present review was to look at the role of ureteroscopy (URS) for treatment of paediatric stone disease. We conducted a systematic review using studies identified by a literature search between January 1990 and May 2013. All English-language articles reporting on a minimum of 50 patients aged ≤ 18 years treated with URS for stone disease were included. Two reviewers independently extracted the data from each study. A total of 14 studies (1718 procedures) were reported in patients with a mean (range) age of 7.8 (0.25-18.0) years. The mean (range) stone burden was 9.8 (1-30) mm and the mean (range) stone-free rate (SFR) 87.5 (58-100)% with initial therapeutic URS. The majority of these stones were in the ureter (n = 1427, 83.4%). There were 180 (10.5%) Clavien I-III complications and 38 cases (2.2%) where there was a failure to complete the initial ureteroscopic procedure and an alternative procedure was performed. To assess the impact of age on failure rate and complications, studies were subcategorized into those that included children with either a mean age <6 years (four studies, 341 procedures) or a mean age >6 years. (10 studies, 1377 procedures). A higher failure rate (4.4 vs 1.7%) and a higher complication rate (24.0 vs 7.1%) were observed in children whose mean age was <6 years. URS for paediatric stone disease is a relatively safe procedure with a reasonably good SFR, but there seems to be a higher failure and complication rate in children aged <6 years.

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More information

e-pub ahead of print date: 9 September 2014
Published date: June 2015
Additional Information: © 2014 The Authors. BJU International © 2014 BJU International.
Keywords: Adolescent, Age Factors, Child, Child, Preschool, Female, Humans, Infant, Male, Pediatrics, Ureteral Calculi, Ureteroscopy, Journal Article, Review

Identifiers

Local EPrints ID: 419369
URI: http://eprints.soton.ac.uk/id/eprint/419369
ISSN: 1464-4096
PURE UUID: d311fe3a-7480-41aa-8431-2ea0cf3fed62

Catalogue record

Date deposited: 11 Apr 2018 16:30
Last modified: 13 Mar 2019 18:44

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