Current status of retrograde intrarenal surgery for management of nephrolithiasis in children

Autor: Yaser El-Hout, Aziza Elnaeema, Walid A Farhat
Jazyk: angličtina
Rok vydání: 2010
Předmět:
Zdroj: Indian Journal of Urology, Vol 26, Iss 4, Pp 568-572 (2010)
Druh dokumentu: article
ISSN: 0970-1591
1998-3824
DOI: 10.4103/0970-1591.74463
Popis: 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.
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