Semirigid Ureteroscopy Therapy against Childhood Kidney Stones

Abstract

Objective. The purpose of the current study was to assess the effectiveness of semirigid ureterorenoscopy (URS) as first-line therapy for early childhood patients with <20 mm stones in the pelvic, middle, or upper calices. Methods. In all, 61 pediatric kidney stone patients who had flexible ureteroscopy (fURS) between January 1, 2010, and December 31, 2019, were included in this study. Before fURS, semirigid URS employed the UreTron or holmium: YAG (Ho : YAG) laser was conducted. When semirigid URS was unsuccessful, fURS was used for retrograde intrarenal surgery (RIRS). All participants were monitored clinically for a minimum of three months after each procedure. Results. The patient’s mean age was $4.52\pm 1.53$ years, and 52 (83.61%) participants underwent semirigid URS successfully. Mean procedural duration of semirigid URS was $36.49\pm 7.72$  min. The stone-free rate after semirigid URS was 92.16% (47/51). During the postprocedural medical observation, there were no serious adverse effects. Conclusions. Based on the present study’s findings, semirigid URS is a low-risk, effective therapy for kidney stones in selected pediatric patients.