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CONGRESS OF THE ESPU
S22-9 (P without presentation)
THE PROPABILITY OF POSSIBLE PREDICTIVE FACTORS
AFFECTING SURGICAL TREATMENT AND COMPLICATION
OF INFANTS WITH UPPER URINARY STONE
Abdurrahman ONEN
Dicle University Medical Faculty, Paediatric Surgery, Diyarbakir, TURKEY
PURPOSE
To assess the possible factors affecting treatment modality and occurrence of complications in
infants associated with urinary calculi.
MATERIAL AND METHODS
A total of 90 infants younger than 2 years of age who surgically treated for upper urinary calculi be-
tween 2008 and 2014 were prospectively evaluated. Age, gender, obesity, stone size, stone number,
stone location, stone location number, presence of symptom (UTI, obstruction), type of treatment,
complication, operation time, stone free, residual stone, hospital stay, reoperation rate, type of stone
were determined as possible predictive factors. Mean follow-up was 4 years.
RESULTS
Forty-six were boy and 44 were girl. Mean age was 15.2months; all infants who underwent surgery
was older than 6 months (7-24). Only 22 (24.4%) were younger than 1 years of age. Stone pre-
sented on right side in 36 patients, left side in 28, and bilateral in 26 patients. 63 patients had more
than one stone. Stone size was greater than 4mm in all patients. Two patients had significant urinary
anomaly that predispose urinary stone development. Eighty-seven (96.7%) patients underwent
minimally invasive surgical intervention. A total of 181 surgical interventions were performed (mean
number of surgery, 2). Twelve patients required reoperation for residual stone (URS in7, ESWL in5).
Age (>6month), multiple stone, bilateral stone, multiple side stone, diameter of stone (>3mm), and
presence of symptom were found to be possible risk factors for surgical necessity in infants younger
than 2 years of age who had urinary calculi.
CONCLUSIONS
Age (over 6month), multiple stone, bilateral stone, multiple side stone, diameter of stone (>3mm),
persisting fragments and presence of symptom are factors predictive for surgical necessity in infants
younger than 2 years of age who had upper urinary calculi. Minimally invasive intervention is safe
and effective for the vast majority of infants who need surgery for upper urinary stone.
S22-10 (P without presentation)
SUPINE VS PRONE PCNL
Bashir AHMED, Sajid SULTAN, Sadaf ABA UMER KODWAVWALA
and Adeeb Ul Hassan RIZVI
Sindh Institute of Urology & Transplantation, Philip G. Ransley Department of Paediatric Urology, Karachi, PAKISTAN
PURPOSE
To compare the safety and outcome (stone clearance, blood transfusion and complications) of
supine mini PCNL vs prone mini PCNL in paediatric age group.