Akbar Nouralizadeh1, Farzaneh Sharifiaghdas1, Hamid Pakmanesh2, Abbas Basiri1, Mohammad Hadi Radfar1, Mohammad Hossein Soltani1, Mahmoodreza Nasiri1,3, Esmaeil Rezghi Maleki1, Emal Lesha4, Mohammad Ghasemi-Rad5, Behzad Narouie6,7. 1. Department of Urology, Urology and Nephrology Research Center, Shahid Labbafinejad Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran. 2. Department of Urology, Kerman University of Medical Sciences, Kerman, Iran. 3. Department of Urology, Golestan University of Medical Sciences, Gorgan, Iran. 4. Tufts University School of Medicine, Boston, MA, USA. 5. Baylor College of Medicine, Houston, TX, USA. 6. Department of Urology, Urology and Nephrology Research Center, Shahid Labbafinejad Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran. b_narouie@yahoo.com. 7. Department of Urology, Zahedan University of Medical Sciences, Zahedan, Iran. b_narouie@yahoo.com.
Abstract
OBJECTIVES: To present the safety and efficacy of fluoroscopy-free ultrasound-guided PCNL for the treatment of renal calculi in pediatric patients of all ages. METHODS: 30 children with mean age of 5 years (6 months-12 years) underwent totally ultrasound-guided PCNL from March 2013 to August 2016. The pyelocalyceal system was punctured in prone position using only ultrasonography guidance, and the tract was dilated using a single shot dilation technique. No fluoroscopy was used during any of the stages of renal access. The procedure was performed using adult-sized instruments. RESULTS: The mean stone size was 27.1 ± 8.7 mm. Mean access time was 4.3 ± 2 min. Mean nephroscopic time was 34.6 ± 15.2 min. Mean hospital stay of patients was 3 days (range 2-5). 21 patients were stone-free after the procedure (70% success rate). Only four patients out of 30 experienced postoperative complications. CONCLUSIONS: The results of this study showed that fluoroscopic-free ultrasound-guided PCNL in pediatric patients of all ages is safe, highly efficient, and minimizes potential radiation exposure risks associated with the procedure.
OBJECTIVES: To present the safety and efficacy of fluoroscopy-free ultrasound-guided PCNL for the treatment of renal calculi in pediatric patients of all ages. METHODS: 30 children with mean age of 5 years (6 months-12 years) underwent totally ultrasound-guided PCNL from March 2013 to August 2016. The pyelocalyceal system was punctured in prone position using only ultrasonography guidance, and the tract was dilated using a single shot dilation technique. No fluoroscopy was used during any of the stages of renal access. The procedure was performed using adult-sized instruments. RESULTS: The mean stone size was 27.1 ± 8.7 mm. Mean access time was 4.3 ± 2 min. Mean nephroscopic time was 34.6 ± 15.2 min. Mean hospital stay of patients was 3 days (range 2-5). 21 patients were stone-free after the procedure (70% success rate). Only four patients out of 30 experienced postoperative complications. CONCLUSIONS: The results of this study showed that fluoroscopic-free ultrasound-guided PCNL in pediatric patients of all ages is safe, highly efficient, and minimizes potential radiation exposure risks associated with the procedure.
Authors: A G Dudley; M E Dwyer; J A Fox; J T Dwyer; P Dangle; B T Ristau; H A Stephany; F X Schneck; G M Cannon; M C Ost Journal: J Urol Date: 2016-02-11 Impact factor: 7.450
Authors: Farzaneh Sharifiaghdas; Ali Tabibi; Akbar Nouralizadeh; Mehdi Sotoudeh; Mohammad Ayanifard; Hamid Pakmanesh; Mohammad Hossein Soltani Journal: J Endourol Date: 2015-08-07 Impact factor: 2.942
Authors: Darren Beiko; Hassan Razvi; Naeem Bhojani; Jennifer Bjazevic; David B Bayne; David T Tzou; Marshall L Stoller; Thomas Chi Journal: Can Urol Assoc J Date: 2019-09-27 Impact factor: 1.862