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Retrograde Intrarenal Surgery in Children: Evolution, Current Status, and Future Trends.
Quiroz, Yesica; Somani, Bhaskar Kumar; Tanidir, Yiloren; Tekgul, Serdar; Silay, Selcuk; Castellani, Daniele; Lim, Ee Jean; Fong, Khi Yung; Garcia Rojo, Esther; Corrales, Mariela; Hameed, B M Zeeshan; Llorens, Erika; Teoh, Jeremy Yuen-Chun; Dogan, Hasan Serkan; Traxer, Olivier; Bujons Tur, Anna; Gauhar, Vineet.
Afiliación
  • Quiroz Y; Department of Urology, Division of Pediatric Urology, Fundació Puigvert, Barcelona, Spain.
  • Somani BK; Department of Urology, University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom.
  • Tanidir Y; Department of Urology, Marmara University School of Medicine, Istanbul, Turkey.
  • Tekgul S; Division of Pediatric Urology, Department of Urology, Medical School, Hacettepe University, Ankara, Turkey.
  • Silay S; Department of Urology, Istanbul Biruni University, Istanbul Medeniyet University, Istanbul Memorial Hospital, Istanbul, Turkey.
  • Castellani D; Department of Urology, Division of Urology, Azienda Ospedaliero-Universitaria Ospedali Riuniti di Ancona, Università Politecnica delle Marche, Ancona, Italy.
  • Lim EJ; Department of Urology, Singapore General Hospital, Singapore, Singapore.
  • Fong KY; Department of Urology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
  • Garcia Rojo E; Department of Urology, Hospital Universitario HM Sanchinarro, HM Hospitales, Madrid, Spain.
  • Corrales M; Department of Urology, Hôpital Tenon, Sorbonne University, Paris, France.
  • Hameed BMZ; Department of Urology, Father Muller Medical College Mangalore, Karnataka, India.
  • Llorens E; Department of Urology, Division of Pediatric Urology, Fundació Puigvert, Barcelona, Spain.
  • Teoh JY; S.H. Ho Urology Center, Department of Surgery, The Chinese University of Hong Kong, Hong Kong, China.
  • Dogan HS; Division of Pediatric Urology, Department of Urology, Medical School, Hacettepe University, Ankara, Turkey.
  • Traxer O; Department of Urology, Hôpital Tenon, Sorbonne University, Paris, France.
  • Bujons Tur A; Department of Urology, Division of Pediatric Urology, Fundació Puigvert, Barcelona, Spain.
  • Gauhar V; Department of Urology, Ng Teng Fong General Hospital, NUHS, Singapore, Singapore.
J Endourol ; 36(12): 1511-1521, 2022 12.
Article en En | MEDLINE | ID: mdl-35972727
Introduction: Incidence of urolithiasis in children has increased in recent years and with technological advancements and miniaturization of surgical instruments, pediatric urologists have acquired an impressive arsenal for their treatment. Retrograde intrarenal surgery (RIRS) has gained widespread popularity as it is a natural extension of semirigid ureteroscopy and can be done through natural orifice minimizing the morbidity of percutaneous access. The aim of this narrative review is to describe how RIRS has evolved over the decades in children and if the age-related anatomical difference impacts reported outcomes especially stone-free rate (SFR) and complications. Materials and Methods: An electronic literature search from inception to October 15, 2021 was performed using Medical Subject Heading terms in several combinations on PubMed, EMBASE, and Web of Science without language restrictions. A total of 2022 articles were founded and 165 articles were full-text screening. Finally, 2 pediatric urologists included 51 articles that summarize the available literature regarding the development and use of RIRS in children. Results: RIRS as of today is well established as a superior modality for all stones in all locations compared with extracorporeal shockwave lithotripsy both in children and adults. The passive dilation has decreased the need of active ureteral dilation, but the need to perform prestenting is not defined yet. Regarding the use of the ureteral access sheath, the literature tends to lean toward its placement in most cases, but we do not know its long-term effects over the growth of children. Finally, the SFR has increased as the experience of pediatric urologists increases, as well as the number of complications has decreased. Conclusion: RIRS in pediatrics has crossed many milestones, yet many areas need further research and larger data are required to make RIRS the procedure of choice for renal stone management in children across all age groups.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Urolitiasis Tipo de estudio: Systematic_reviews Límite: Child / Humans Idioma: En Revista: J Endourol Asunto de la revista: UROLOGIA Año: 2022 Tipo del documento: Article País de afiliación: España Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Urolitiasis Tipo de estudio: Systematic_reviews Límite: Child / Humans Idioma: En Revista: J Endourol Asunto de la revista: UROLOGIA Año: 2022 Tipo del documento: Article País de afiliación: España Pais de publicación: Estados Unidos