ReviewTranslational andrology and urology2019
Safety and efficacy of ureteroscopy and stone fragmentation for pediatric renal stones: a systematic review.
Review in Translational andrology and urology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.
- Outcomes of Paediatric Cystine Stone Management: Results of a Systematic Review.Current urology reports · 2023Pooled it
- Trial
- Pediatric Endourology Advances.Current urology reports · 2026Review
- Outcomes of 6.3 Fr flexible ureterorenoscopy and laser lithotripsy for paediatric kidney stone disease: a multicentre international study from EAU endourology.World journal of urology · 2026Article
- Efficacy and safety of semirigid ureterolithotripsy in pediatric urolithiasis: Retrospective analysis from a tertiary center.World journal of clinical pediatrics · 2026Article
- Case series - Beyond the stones: Thulium fiber laser-induced renal damage in children with proximal ureteral narrowing.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2026Article
- Management of Stone Disease in the Spina Bifida Patient.Current urology reports · 2025Review
- The Effect of Preoperative Tamsulosin on Pediatric Ureteroscopic Access: A Multi-Institutional Experience.Urology practice · 2025Article
- Paediatric Ureteroscopy (P-URS) reporting checklist: a new tool to aid studies report the essential items on paediatric ureteroscopy for stone disease.Urolithiasis · 2023Article
- Cystine Stones: Developments in Minimally Invasive Surgery and Their Impact on Morbidity and Stone Clearance.Research and reports in urology · 2023Review
- Endourological treatment of upper tract urinary disease in children.Frontiers in urology · 2023Review
- Role of Pediatric Ureteral Access Sheath and Outcomes Related to Flexible Ureteroscopy and Laser Stone Fragmentation: A Systematic Review of Literature.European urology open science · 2022Review
- Scoping review of recent evidence on the management of pediatric urolithiasis: summary of meta-analyses, systematic reviews and relevant randomized controlled trials.Pediatric surgery international · 2022Article
- Outcomes of ureteroscopy for management of stone disease in early and late childhood over a 15-year period.Therapeutic advances in urologyArticle
- Stone-free rate of laser lithotripsy for large pediatric stones: 15-year experience from a tertiary endourology pediatric center.Therapeutic advances in urologyArticle
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Flexible ureteroscopy (FURS) is now commonly used for the treatment of paediatric renal stones. We conducted a systematic review of literature looking at the outcomes of flexible ureteroscopy and laser lithotripsy (FURSL) for paediatric stone disease. A systematic review was conducted in a Cochrane style and in accordance PRISMA checklist using MEDLINE, CINAHL, EMBASE, Scopus, and Cochrane library for all English language articles in patients ≤18 years from 1990-2018 who underwent FURSL. A total of 11 studies reported on 431 patients, with a mean age of 8.5 years (range, 0.25-17 years). The mean stone size was 13 mm (range, 1.5-30 mm). The overall stone free rate (SFR) was 87% (58-100%) with a mean complication rate of 12.6% (n=55) (range, 0-31.3%) and 76% needing a post-operative ureteric stent insertion. Of the complications, Clavien I/II complications included fever and urinary tract infection (UTI) (n=19), haematuria (n=7), stent discomfort/stent symptoms/post-operative pain (n=8), voiding disturbance (n=2) and post-operative nausea and vomiting (n=1). Clavien III complications included ureteral injury which included perforation (n=6), urinoma (n=1), and acute urinary retention secondary to stone fragmentation (n=1). Clavien IV complications were urinoma (n=2) and no Clavien V complications were noted. Our review suggests that ureteroscopy and laser stone fragmentation for paediatric population is a safe and effective treatment with good SFR and a low risk of complications.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.