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العنوان
Safety and efficacy of flexible ureteroscopy for the management of upper urinary tract calculi in children /
المؤلف
Abd Elsamad, Ahmed Samir.
هيئة الاعداد
باحث / احمد سمير عبدالصمد
مشرف / سمير عبدالحكيم الجمل
مناقش / اسامه مصطفي الجمل
مناقش / صلاح عبدالمنصف نجله
الموضوع
Urology.
تاريخ النشر
2022.
عدد الصفحات
p. :110
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
جراحة المسالك البولية
تاريخ الإجازة
21/8/2022
مكان الإجازة
جامعة طنطا - كلية الطب - Urology
الفهرس
Only 14 pages are availabe for public view

from 133

from 133

Abstract

Children represent about 1% of all patients with urolithiasis, but 100% of these children are considered high risk for recurrent stone formation, and it is crucial for them to receive a therapy that will render them stone free. (1)
The choice of treatment modality is individualized in children, considering patient age, stone size, number, location, and clinical contributing factors as well as on the anatomy of the urinary tract.
Progressing from least to most minimally invasive, extracorporeal shock wave lithotripsy, semi rigid, flexible ureteroscopy and percutaneous nephrolithotomy are the surgical methods of today for kidney and ureteral stones.
According to both EAU and AUA guidelines all studies reporting the use of endoscopy for ureteric stones in children have clearly demonstrated that there is no significant risk of ureteric stricture or reflux with this mode of therapy (2), and both intrarenal and ureteric can be treated using this approach. (3)
Recent meta-analysis showed that retrograde intra renal surgery has similar success rate and stone-free rate and less hospital stay and complication rate when compared to micro-PCNL for stones between 10-20mm, where PCNL has higher stone-free rate in stones larger than 20 mm. (4).