Sultan S. et al., 2019: Update on Surgical Management of Pediatric Urolithiasis.
Sultan S, Aba Umer S, Ahmed B, Naqvi SAA, Rizvi SAH.
Philip G. Ransley Department of Paediatric Urology, Sindh Institute of Urology and Transplantation, Karachi, Pakistan.
Urolithiasis has always been a fascinating disease, even more so in children. There are many intriguing facets to this pathology. This article is a nonsystematic review to provide an update on the surgical management of pediatric urolithiasis. It highlights the pros and cons of various minimally invasive surgical options such as extracorporeal shockwave lithotripsy (ESWL), retrograde intrarenal surgery (RIRS), percutaneous nephrolithotomy (PCNL), laparoscopy, and robotics. This article also describes the various intracorporeal disintegration technologies available to fragment the stone, including the newer advancements in laser technology. It also emphasizes the cost considerations especially with reference to the emerging economies. Thus, this manuscript guides how to select the least-invasive option for an individual patient, considering age and gender; stone size, location, and composition; and facilities and expertise available.
Front Pediatr. 2019 Jul 3;7:252. doi: 10.3389/fped.2019.00252. eCollection 2019. Review FREE ARTICLE
Pediatric urolithiasis is more frequent in countries like Pakistan than in western countries. This is a very good up-to-date review on the treatment of pediatric urolithiasis from a busy urological department. Through the years they have published their experience in several articles which are all freely accessible on the PubMed home page.
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Free PMC Article
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