Evidence map›Paper›PMID 36048242›Full record

ArticlePediatric surgery international2022

What is the best approach for pediatric kidney stones of moderate-sized between shock wave lithotripsy, ultramini percutaneous nephrolithotomy and retrograde intrarenal surgery?

Umut Unal, Mehmet Eflatun Deniz, Ferhat Ortoglu, Ediz Vuruskan, Hakan Anil, Adem Altunkol

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Article in Pediatric surgery international, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

What it found

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3 · Its place in the literature

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2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Umut UnalDepartment of Urology, Adana City Teaching and Research Hospital, University of Health Sciences, Adana, Turkey.
Mehmet Eflatun DenizDepartment of Urology, Adana Kozan State Hospital, Ministry of Health, Adana, Turkey.
Ferhat OrtogluDepartment of Urology, Adana City Teaching and Research Hospital, University of Health Sciences, Adana, Turkey.
Ediz VuruskanDepartment of Urology, Adana City Teaching and Research Hospital, University of Health Sciences, Adana, Turkey.
Hakan AnilDepertment of Urology, Adana Seyhan State Hospital, Ministry of Health, Adana, Turkey.
Adem AltunkolDepartment of Urology, Adana City Teaching and Research Hospital, University of Health Sciences, Adana, Turkey. ademaltunkol@hotmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aimed to compare the results of ultramini percutaneous nephrolithotomy (UMP), shock wave lithotripsy (SWL) and retrograde intrarenal surgery (RIRS) in pediatric patients with kidney stones 10-20 mm size.

methodsThe files of 159 pediatric patients (36 RIRS, 39 SWL, 84 UMP) with kidney stones were reviewed retrospectively. Preoperative age, sex, stone size and location were evaluated. The three methods were compared in terms of operation and fluoroscopy duration, complications with the modified Clavien grading system, and stone-free rate (SFR) in the postoperative first month.

resultsThe stone burdens of the groups were similar (P = 0.102). At the end of the first month, SFR was higher in the RIRS and UMP groups compared to the SWL group (88.9%, 92.9% and 69.2%, respectively, P = 0.002). UMP had higher SFR for lower pole stones than the other two methods (P = 0.042). There was no difference in complications between the three methods (P = 0.758).

conclusionSFR was similar for all three methods in all localizations, apart from lower pole stones. UMP had higher SFR for lower pole stones than the other two methods. There was no difference in terms of complications between the three methods.

Indexed as

Kidney CalculiSurgical Procedures, OperativeChildFemaleHumansLithotripsyMaleNephrolithotomy, PercutaneousRetrospective StudiesTreatment OutcomeRetrograde intrarenal surgeryShockwave lithotripsyUltramini percutaneous nephrolithotomy

Identifiers

PMID36048242

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