| SYMPOSIUM |
|
| Year : 2010 | Volume
: 26
| Issue : 4 | Page : 568-572 |
|
|
Current status of retrograde intrarenal surgery for management of nephrolithiasis in children
Yaser El-Hout, Aziza Elnaeema, Walid A Farhat
Division of Urology, The Hospital for Sick Children, Toronto, Canada
Correspondence Address:
Walid A Farhat
Associate Professor, Pediatric Urologist, Division of Urology, The Hospital for Sick Children, 555 University Avenue, Toronto, M5G 1X8, Ontario
Canada
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0970-1591.74463
|
|
|
Purpose : To review the current status of retrograde intrarenal surgery (RIRS) for renal stones in children focusing on its indications, outcomes and success in the management of nephrolithiasis.
Materials and Methods : Between 1988 and 2009, a comprehensive PubMed/MEDLINE literature review on RIRS was conducted.
Results : The available literature is limited and heterogeneous, skewed by favorable results on ureteral stone outcomes. However, recent case series report outcomes comparable to time-honored modalities: percutaneous nephrolithotomy and shock wave lithotripsy. Concerns about urinary tract damage are not substantiated by the yet available intermediate-term follow-up.
Conclusions : RIRS seems to be an effective modality in pediatric nephrolithiasis management. However, long-term outcomes and comparative prospective randomized studies are awaited. |
|
|
|
| [FULL TEXT] [PDF]* |
|
 |
|
