Introduction: The first-line treatment of ureteric stones is done using (URS) and (ESWL). Pneumatic, electro-hydraulic, ultrasonic, and laser devices have been used for URS treatment . Small caliber ureteroscopes with laser lithotripsy are the traditional management for pediatric ureteral stones and have provided a more safe management with lower complication rates. Aim of the work: The aim of our study was to demonstrate the safety and efficacy of pneumatic lithotripsy in the management of ureteral stones in pediatric cases. Patients and Methods: Our prospective clinical study at Nephrology and Urology Minia University Hospital, involved semi-rigid ureteroscopy using pneumatic lithotripsy in 20 child with ureteric stones. All children (2-16 years old) attended at our outpatient clinic diagnosed with ureteric stones (< 15 mm in size) and indicated for surgery underwent URS. Upper ureteric stones will excluded in our study. Results: In the current research, the outcome of 20 children underwent ureteroscopy with the use of a semirigid ureteroscope for middle and lower ureteric stones have been described. Our stone-free rate was 90%, all the complications were noted in our study at the start. We have not experienced any case of ureteral avulsion, there had been a single case of intraoperative ureteric perforation with extravasation. Regarding post-operative residual hydronephrosis , in our study 70 % of cases had no postoperative hydronephrosis on 1-month follow up US, while 100% of cases showed no hydronephrosis on 3-6 month follow up.
Mahmoud, H., Mohamed, A., Abd-elgawad, A., & Tawfiek, E. (2020). Semi-rigid Ureteroscopy in Children Using Pneumatic Lithotripsy: Safety and Efficacy. Minia Journal of Medical Research, 31(3), 400-406. doi: 10.21608/mjmr.2022.220330
MLA
Hosam M. Mahmoud; Ahmed Z. Mohamed; Ahmed H. Abd-elgawad; Ehab R. Tawfiek. "Semi-rigid Ureteroscopy in Children Using Pneumatic Lithotripsy: Safety and Efficacy". Minia Journal of Medical Research, 31, 3, 2020, 400-406. doi: 10.21608/mjmr.2022.220330
HARVARD
Mahmoud, H., Mohamed, A., Abd-elgawad, A., Tawfiek, E. (2020). 'Semi-rigid Ureteroscopy in Children Using Pneumatic Lithotripsy: Safety and Efficacy', Minia Journal of Medical Research, 31(3), pp. 400-406. doi: 10.21608/mjmr.2022.220330
VANCOUVER
Mahmoud, H., Mohamed, A., Abd-elgawad, A., Tawfiek, E. Semi-rigid Ureteroscopy in Children Using Pneumatic Lithotripsy: Safety and Efficacy. Minia Journal of Medical Research, 2020; 31(3): 400-406. doi: 10.21608/mjmr.2022.220330