درمان سنگ های حالب در اطفال با استفاده از یورتروسکوپی و پنوماتیک لیتوتریپسی

Background and Purpose: Treatment of ureter stone in children by ureteroscopy and pneumatic lithotripsy. Materials and Methods: Within one and half year 21 children referred for the treatment of ureter stone by endoscopic method. Biochemical and urine culture tests were done in all of the cases. ÏVP was performed in all of patients except one case, before operation. Semirigid wolf 8fr ureteroscope was used for ureteroscopy. Âfter observation of stone, it was crushed by swiss lithoclast. Ât the end of the operation, ureteral cathetor 4fr was placed in all of the patients. Ïn two patients with bilateral ureter stones, bilateral ureteroscopy was performed. Results: The age of the patients ranged from 2 years and 8 months to eleven years. 57.14% and 42.85% of the patients were boys and girls respectively. Ïn all of the patients we reached the stone by ureteroscope, its performance was easier in girls than boys. 95.23% of stone free patients were discharged from the hospital. No serious complication occurred in the patients. The complications were hematuria in 66.66% and renal colitis in one patient. Âll of them were treated with maintanence treatment. Çonclusion: Âlthough, ureteroscopy experience is limited in children. But the study indicats that ureteroscopy done with the help of delicate ureteroscopy in order to diagnosis and treatment of ureter stone in children is easy and with less morbidity.