ESPU Congress 2018 - Abstract Book

182

CONGRESS OF THE ESPU

S25: STONES 2

Moderators: Sajid Sultan (Pakistan), Annabel Paye-Jaouen (France)

ESPU Meeting on Saturday 14, April 2018, 12:16–12:48

12:16–12:19

S25-1 (PP)

OUTCOMES OF FLEXIBLE URETEROSCOPIC LITHOTRIPSY

FOR TREATMENT OF KIDNEY STONES IN INFANTS

Wenying WANG, Jun LI and Ye TIAN

Beijing Friendship Hospital, Capital Medical University, Urology, Beijing, CHINA

PURPOSE

We evaluated the outcome of flexible ureteroscopic lithotripsy for treatment of kidney stones in

infants.

MATERIAL AND METHODS

One hundred and seventy-five infants with kidney stones were included in this study: 105 boys

and 70 girls. The median age was 16 months (range, 3–36 months). Sixty-five patients had left-

side calculi, 68 of them had right-side calculi, and 42 had bilateral calculi. The median diameter

of the calculi was 1.8 cm (range, 1.0–3.2 cm). Retrograde intrarenal surgery was performed by

an 8 Fr/30 cm flexible ureterorenoscope (POLY

) combined with a holmium laser. CT scanning or

radiography of the kidneys, ureters, and bladder (KUB) region was performed one month after the

operation to confirm the clearance of calculi.

RESULTS

All the 175 infants with calculi in 217 sides underwent flexible ureteroscopic lithotripsy. The me-

dian operation time was 32 min (range, 10–90 mins). The median amount of flushing fluid was

550 mL (range, 100–1400 mL). The stone-free rate after a single session treatment was 92.2 %

(200/217), within which 15 infants underwent simultaneous bilateral flexible ureteroscopy lithotripsy.

Catheters were retained for 24–48 hours after the operation. Continuous high fever due to reflux

(39–40°C, 3–5 days) was present in seven cases. Flushing fluid extravasation was found in two

infants. Some patients with minor complications, such as mild hematuria, irritation symptoms, and

low fever, recovered without treatment. The duration of hospitalization time after the operation was

approximately 1–7 days.

CONCLUSIONS

Flexible ureteroscopic lithotripsy is a safe, highly efficient, minimally invasive, and reproducible

operation for removal of renal calculi in infants. This technique is a convenient method for postop-

erative management of patients that enhances their rapid recovery.