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- Title
Comparison of a 4.5 F semi-rigid ureteroscope with a 7.5 F rigid ureteroscope in the treatment of ureteral stones in preschool-age children.
- Authors
Atar, Murat; Sancaktutar, Ahmet; Penbegul, Necmettin; Soylemez, Haluk; Bodakci, Mehmet; Hatipoglu, Namik; Bozkurt, Yasar; Cakmakci, Suleyman
- Abstract
The aim of this study was to compare the success and complication rates of a 4.5 F ureteroscope with a 7.5 F ureteroscope in the treatment of urolithiasis in preschool-age children. We retrospectively reviewed 69 ureteroscopy (URS) procedures in a pediatric population (40 boys, 29 girls). We divided the patients into two groups according to the type of ureteroscope used: group 1 ( n = 42, Storz 7.5 F) and group 2 ( n = 27, Wolf 4.5 F). We statistically compared all the procedures performed in both groups regarding patient age, complication rates, whether the procedure was therapeutic, and whether we used a guidewire. Additionally, in cases with ureteral stones, we also compared the stone clearance rate and the necessity of X-ray imaging between the two groups. The mean patient age was 56.04 months in group 1 and 47.48 months in group 2 ( p = 0.057). The stone-free rate was 78.6 % in group 1 and 92.6 % in group 2 ( p > 0.05). However, when we compared the stone-free rates for patients younger than 3 years, the rate was 66.7 % in group 1 and 93.8 % in group 2 ( p < 0.05). The difference was not statistically significant for patients between the ages of 4 and 7 years. The success and failure rates revealed better outcomes for treatment of ureteral stones with a 4.5 F ureteroscope. We recommend the use of the mini-ureteroscope, especially in infants and preschool-age children.
- Subjects
TREATMENT of calculi; URETEROSCOPY; SURGICAL complications; DISEASES; PRESCHOOL children; AGE factors in disease; COMPARATIVE studies; RETROSPECTIVE studies
- Publication
Urological Research, 2012, Vol 40, Issue 6, p733
- ISSN
0300-5623
- Publication type
Article
- DOI
10.1007/s00240-012-0489-8