Comparison of pneumatic and laser lithotripsy in the treatment of pediatric ureteral stones.

Abstract

OBJECTIVE:

To compare the effectiveness and safety of pneumatic and holmium:YAG laser lithotripters in the treatment of pediatric ureterolithiasis.

PATIENTS AND METHODS:

Medical records of patients treated using pneumatic (PL) (n = 29) or laser (LL) (n = 35) lithotripter between 2009 and 2011 were retrospectively analysed. The patients were evaluated with respect to age, gender, stone size, complications, and stone-free rates 1 month after the operation.

RESULTS:

For the PL and LL groups, mean ages (8.8 ± 3.4 and 8.3 ± 3.5 years), male/female ratios (19:10 and 22:13) and stone locations were similar (p > 0.05). Mean stone sizes were 55.6 mm2 and 47.6 mm2 in the PL and LL group, respectively, with no statistically significant difference (p = 0.850). Mean operative times were 20.5 min in the PL group and 25.2 min in the LL group, with a statistically significant difference (p = 0.020). Stone-free rates 1 month after intervention were 79% in the PL group and 97% in the LL group (p = 0.022). Stone migration was detected in the PL group (n = 6) and in the LL group (n = 1). No major complication was found in either group.

CONCLUSION:

In the ureteroscopic treatment of pediatric ureterolithiasis, both pneumatic and laser lithotripters are effective and successful. However, laser lithotripsy has a higher stone-free rate and lower complication rate.

• Authors: Murat Atar, Mehmet Nuri Bodakci, Ahmet Ali Sancaktutar, Necmettin Penbegul, Haluk Soylemez, Yasar Bozkurt, Namik Kemal Hatipoglu, Suleyman Cakmakci
• Journal: Journal of pediatric urology (J Pediatr Urol) Vol. 9 Issue 3 Pg. 308-12 (Jun 2013) ISSN: 1873-4898 [Electronic] England
• PMID: 22494964 (Publication Type: Comparative Study, Journal Article)
• Copyright: Copyright © 2012 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.

Topics

• Child
• Child, Preschool
• Equipment Design
• Female
• Humans
• Lasers, Solid-State (therapeutic use)
• Lithotripsy (adverse effects, methods)
• Lithotripsy, Laser
• Male
• Stents
• Treatment Outcome
• Ureteral Calculi (surgery)
• Ureteroscopy