dc.contributor.author | Jones, Charles Patrick Warburton | |
dc.contributor.author | Æsøy, Mathias S. | |
dc.contributor.author | Gjengstø, Peder | |
dc.contributor.author | Beisland, Christian | |
dc.contributor.author | Ulvik, Øyvind | |
dc.date.accessioned | 2022-09-30T12:41:02Z | |
dc.date.available | 2022-09-30T12:41:02Z | |
dc.date.created | 2022-09-15T12:43:29Z | |
dc.date.issued | 2022 | |
dc.identifier.issn | 1756-2872 | |
dc.identifier.uri | https://hdl.handle.net/11250/3022941 | |
dc.description.abstract | Introduction:
Paediatric stone disease is rare in the Nordic communities. Still, the condition can require surgical intervention in the form of ureteroscopy (URS). Here, we report outcomes achieved at a regional (tertiary) centre.
Patients and methods:
Retrospective analysis was performed of consecutive patients (<18 years of age) undergoing URS for stone disease between 2010 and 2021. Outcomes of interest included stone-free rate (SFR) determined using a definition of no residual fragments ⩾ 3 mm on imaging and complications classified according to Clavien–Dindo system.
Results:
In total, 23 patients underwent 47 URS procedures for a total of 31 stone episodes. Mean age was 9 (range 1–17) years and male-to-female ratio was 6:17. Overall, 35% had at least one medical comorbidity. Ultrasound determined preoperative stone status in 87%. Mean largest index and cumulative stone sizes were 9 (range 3–40) and 12 (range 3–40) mm, respectively. Overall, 32% had multiple stones. Lower pole was the commonest stone location (39%). No patients underwent elective pre-operative stenting. Ureteral access sheaths were not used in any cases. Access to upper urinary tract at first procedure was successful in 94%. Initial and final SFR was 61% and 90%, respectively. No intra-operative complications were recorded. Overall post-operative complication rate was 17.5%. Urinary tract infection (CD II) was the commonest adverse event (12.5%).
Conclusion:
Paediatric URS can be delivered in the setting of a regional centre without compromising outcomes. This includes when carried out by adult endourologists, without routine pre-stenting and omitting use of ureteric access sheath. | en_US |
dc.language.iso | eng | en_US |
dc.publisher | Sage | en_US |
dc.rights | Navngivelse-Ikkekommersiell 4.0 Internasjonal | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc/4.0/deed.no | * |
dc.title | Ureteroscopy for stone disease in the paediatric population: lessons learned and outcomes in a Nordic setting | en_US |
dc.type | Journal article | en_US |
dc.type | Peer reviewed | en_US |
dc.description.version | publishedVersion | en_US |
dc.rights.holder | Copyright 2022 The Author(s) | en_US |
cristin.ispublished | true | |
cristin.fulltext | original | |
cristin.qualitycode | 1 | |
dc.identifier.doi | 10.1177/17562872221118727 | |
dc.identifier.cristin | 2052010 | |
dc.source.journal | Therapeutic Advances in Urology | en_US |
dc.source.pagenumber | 1-9 | en_US |
dc.identifier.citation | Therapeutic Advances in Urology. 2022, 14, 1-9. | en_US |
dc.source.volume | 14 | en_US |