ESPU Congress 2018 - Abstract Book

173 11–14 APRIL, 2018, HELSINKI, FINLAND 11:11–11:14 S23-2 (PP) FLANK-FREE MODIFIED SUPINE PERCUTANEOUS NEPHROLITHOTOMY IN PEDIATRIC AGE GROUP Ehab ELSAYED  1 , Esam DESOUKY  1 , Ahmed ELIWA  2 , Mohamed SLEEM  2 , Waleed SHABANA  2 , Tamer DAWOOD  2 , Mohamed TELB  2 and Salem KHALIL  3 1) Zagazig university hospital, Urology, Zagazig, EGYPT - 2) Zagazig university hospital, Zagazig, EGYPT - 3) Zagazig university hospital, Zagazig, EGYPT PURPOSE To evaluate the safety and efficacy of pediatric percutaneous nephrolithotomy (PCNL) in the flank- free modified supine position (FFMSP). PCNL in the supine position is increasingly and success- fully used in pediatric age group. Different modifications of supine positions have been described; however, the best supine position is not well established and remains a matter of debate. MATERIAL AND METHODS This prospective study included 22 children presenting with single renal pelvis stone (2–3 cm) in the period between May 2012 and April 2014. Diagnosis was set by plain x-ray and computed tomography in all patients. PCNL was performed with the patients placed in the FFMSP. The opera- tive time and hospital stay were estimated. The outcome and any perioperative complica- tions or conflicts were recorded. RESULTS The study included 22 children (15 boys and 7 girls) with a solitary renal pelvis stone. Mean ' standard deviation age of the patients was 9.5 ' 3.2 years (range, 3–15.5 years). Stone length, operative time, and hospital stay had mean ' standard deviation of 2.4 ' 0.23 cm, 65.1 ' 18.7 minutes, and 4.4 ' 0.9 days. Stone-free rate was 90.9 % after 1 session of PCNL. One patient (4.5 %) needed a second-look PCNL. Shock wave lithotripsy was performed for another patient. Postoperative fever occurred in 4 patients (18.2 %). One patient received postoperative blood transfusion. Postoperative transient urinoma occurred in 2 patients (9.1 %). CONCLUSIONS PCNL in pediatric age group via FFMSP was proved to be safe and effective in management of renal pelvis stones of size 2–3 cm. It provides stone clearance rate comparable with that re- ported of conventional PCNL in the prone position. 11:14–11:17 S23-3 (PP) COMBINED URETEROSCOPY AND PCNL IN CHILDREN Vishal KADELI  1 , R. B. NERLI  1 , Shridhar GHAGANE  2 , Shankar K  1 and Neeraj DIXIT  2 1) KLE University's JN Medical College, KLES Kidney Foundation, KLES Dr. Prabhak, Department of Urology, Belagavi, INDIA - 2) KLES Kidney Foundation, KLES Dr. Prabhakar Kore Hospital & MRC, Department of Urology, Belagavi, INDIA PURPOSE Urinary tract stones represents an emerging problem in children. Introduction of smaller endo- scopes, lasers and improved technology has offered a new dimension. Supine positioning has certainly contributed to the new life of PCNL and offers combined percutaneous and retrograde approach during the same surgical procedure. In this prospective study we have used the GMSV position to simultaneously treat ureteric and ipsilateral renal stones by retrograde ureteroscopy and supine PCNL in children.