Ballistic ureteroscopic lithotripsy in prepubertal patients: a feasible option for ureteral stones

• Autor(a) principal: Fuganti,Paulo E.
• Data de Publicação: 2006
• Outros Autores: Pires,Silvio R., Branco,Renato O., Porto,Jose L.
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: International Braz J Urol (Online)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382006000300013
• topic: ureteral calculi; child; ureteroscopy; complications

OBJECTIVE: To evaluate the role of ballistic ureteroscopic lithotripsy in children with ureteral stones. MATERIALS AND METHODS: Children under 14 years with ureteral stones were treated with ureteroscopy in a 5-year period in our institution. RESULTS: Twenty-three procedures were performed in 20 children. Mean surgical time, age and stone size were 31 min. (15 - 120min.), 11 years. (4-13 years), 5.3 mm (3-10 mm) respectively. Three patients underwent two ballistic ureteroscopic lithotripsy each. There were 22 successful procedures (96%) and a 100% stone-free rate per patient. Complications (mucosal tear) occurred in 2 procedures (8%) without extravasation of contrast media on retrograde pyelogram and their follow-up was uneventful. CONCLUSION: Ureteroscopic ballistic lithotripsy is a feasible option for ureteral stones in prepubertal patients, with high stone-free rate and few complications.