Literature DB >> 20521057

Comparison of ureteroscopic procedures with rigid and semirigid ureteroscopes in pediatric population: does the caliber of instrument matter?

Orhan Tanriverdi1, Mesrur Selcuk Silay, Muammer Kendirci, Mustafa Kadihasanoglu, Mustafa Aydin, Kaya Horasanli, Cengiz Miroglu.   

Abstract

OBJECTIVES: To compare the results of two different ureteroscopes in pediatric ureteroscopy (URS) procedures. PATIENTS AND METHODS: Sixty-five consecutive URS procedures in pediatric population (39 males, 26 females) were retrospectively evaluated. The subjects were divided in two groups according to the type of ureteroscope used: Group 1 (n = 32, Wolf 8F) and group 2 (n = 33, ACMI 6.9F). All the procedures performed in both groups were statistically compared regarding patient age, gender, lateralization, complication rates, whether the procedure was diagnostic or therapeutic, and whether a guide-wire was used. Additionally, in cases with ureteral stones, stone clearance rate and the necessity of a stone extractor were also compared between the groups. All data were statistically analyzed using chi-square and t tests, where appropriate. A p value less than 0.05 was considered as significant.
RESULTS: Mean age of the groups were comparable (9.44 +/- 4.3 and 8.67 +/- 3.9, p = 0.456). There was no statistically meaningful difference between the groups regarding patients' gender, lateralization rates, whether the procedure was diagnostic or therapeutic, the need for a guide-wire use, and complication rates (p > 0.05). In cases with ureteral stones, both groups exhibited statistically comparable results in stone clearance rates and the use of a stone extractor (p > 0.05).
CONCLUSIONS: Data on this comparison demonstrated that both ureteroscopy devices in pediatric population can be used safely in URS procedures. Neither the diameter nor the rigidity is significantly affecting the outcomes and success rates <or=8F caliber.

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Year:  2010        PMID: 20521057     DOI: 10.1007/s00383-010-2630-5

Source DB:  PubMed          Journal:  Pediatr Surg Int        ISSN: 0179-0358            Impact factor:   1.827


  15 in total

1.  Hydrodilation of the ureteral orifice in children renders ureteroscopic access possible without any further active dilation.

Authors:  Tarkan Soygur; Ali E Zumrutbas; Omer Gulpinar; Evren Suer; Nihat Arikan
Journal:  J Urol       Date:  2006-07       Impact factor: 7.450

2.  Results with 7.5F versus 10F rigid ureteroscopes in treatment of ureteral calculi.

Authors:  Ozgur Yaycioglu; Sezgin Guvel; Ferhat Kilinc; Tulga Egilmez; Hakan Ozkardes
Journal:  Urology       Date:  2004-10       Impact factor: 2.649

Review 3.  Ureteroscopy for the treatment of urolithiasis in children.

Authors:  Timothy G Schuster; Kelly Y Russell; David A Bloom; Harry P Koo; Gary J Faerber
Journal:  J Urol       Date:  2002-04       Impact factor: 7.450

4.  Ureteroscopy in the management of pediatric urinary tract calculi.

Authors:  Asif Raza; Gordon Smith; Sami Moussa; David Tolley
Journal:  J Endourol       Date:  2005-03       Impact factor: 2.942

5.  Ureteroscopy and ureteropyeloscopy.

Authors:  E S Lyon; J L Huffman; D H Bagley
Journal:  Urology       Date:  1984-05       Impact factor: 2.649

Review 6.  Ureteroscopy for pediatric urolithiasis: an evolving first-line therapy.

Authors:  A H H Tan; M Al-Omar; J D Denstedt; H Razvi
Journal:  Urology       Date:  2005-01       Impact factor: 2.649

7.  Transureteral lithotripsy in pediatric practice.

Authors:  A Bassiri; H Ahmadnia; M R Darabi; M Yonessi
Journal:  J Endourol       Date:  2002-05       Impact factor: 2.942

8.  Ureteroscopy is safe and effective in prepubertal children.

Authors:  Eugene Minevich; William Defoor; Pramod Reddy; Kazuyuki Nishinaka; Jeffrey Wacksman; Curtis Sheldon; Michael Erhard
Journal:  J Urol       Date:  2005-07       Impact factor: 7.450

9.  Failures and complications of transurethral ureteroscopy in 297 cases: conventional rigid instruments vs. small caliber semirigid ureteroscopes.

Authors:  F Francesca; V Scattoni; L Nava; P Pompa; M Grasso; P Rigatti
Journal:  Eur Urol       Date:  1995       Impact factor: 20.096

10.  Ureteroscopic stone management in prepubertal children.

Authors:  Ashish C Koura; Indupur R Ravish; Shrishailesh Amarkhed; Rajendra B Nerli; Mallikarjun Reddy
Journal:  Pediatr Surg Int       Date:  2007-09-20       Impact factor: 1.827

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  4 in total

1.  The effect of ureteroscope size in the treatment of ureteral stone: 15-year experience of an endoscopist.

Authors:  Muhammet Fatih Kılınç; Ömer Gökhan Doluoğlu; Tolga Karakan; Ayhan Dalkılıç; Nurettin Cem Sönmez; Cem Nedim Yücetürk; Berkan Reşorlu
Journal:  Turk J Urol       Date:  2016-06

2.  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:  Murat Atar; Ahmet Ali Sancaktutar; Necmettin Penbegul; Haluk Soylemez; Mehmet Nuri Bodakci; Namik Kemal Hatipoglu; Yasar Bozkurt; Suleyman Cakmakci
Journal:  Urol Res       Date:  2012-07-11

3.  Are Adult Ureteroscopes Safe in the Management of Urolithiasis in a Pediatric Population?

Authors:  Gregory J Nason; Rebecca Headon; Matthew J Burke; Asadullah Aslam; Michael E Kelly; Subhasis K Giri; Hugh D Flood
Journal:  Curr Urol       Date:  2015-05-20

Review 4.  Ureteroscopy for Stone Disease in Paediatric Population is Safe and Effective in Medium-Volume and High-Volume Centres: Evidence from a Systematic Review.

Authors:  Shazna Rob; Patrick Jones; Amelia Pietropaolo; Stephen Griffin; Bhaskar K Somani
Journal:  Curr Urol Rep       Date:  2017-10-18       Impact factor: 3.092

  4 in total

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