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19–22 APRIL, 2017, BARCELONA, SPAIN
11:27–11:30
S23-5 (PP)
IS THERE A STILL A NEED FOR OPEN SURGERY
FOR MANAGING LARGE URETERAL STONES
IN CHILDREN?
Ahmed FAHMY, Mohamed YOUSSIF, Haytham BADAWY, Walid DAWOUD
and Samir ORABI
Alexandria University, Urology Department, Alexandria, EGYPT
PURPOSE
Large ureteral stones in children represents an operative challenges to pediatric urologist. In the
era of minimally invasive approaches, indications for open stone management have been shrunken
significantly. The aim of the present study to prospectively compare between open surgery and
ureteroscopy for treatment of large ureteral stone in children.
MATERIAL AND METHODS
We prospectively included 40 children with a ureteric stone > 1.5 cm. Group 1 included 20 children
managed by open ureterolithotomy and group 2 (20 children) underwent ureteroscopic lithotripsy.
Stone clearance rate, operative time, hospital stay, complication rate, postoperative pain and need
for analgesia were compared between both group.
RESULTS
Group 1 had a higher stone free rate rate (100 % vs 80%) after a single session, shorter mean
operative time (47 minute vs 72 minute) . one case of extravasation, two case of hematuria and two
postoperative fever developed in group 2 while none of group 1 developed intra or postoperative
complication. Post operative pain and need for analgesia were significantly higher in group 2.
All patients in group 2 were left with JJ stent while none in group 1 needed ureteral stent placement.
Further auxiliary procedure were not needed after open ureterolithotomy.
CONCLUSIONS
We believe there is still an indication for open ureterolithotomy for children with a large ureteric
stone > 1.5cm. It offers the advantages of high success rate, short operative time with minimal
morbidity and need for auxiliary procedures.
11:30–11:33
S23-6 (PP)
BILATERAL SIMULTANEOUS RETROGRADE INTRARENAL
SURGERY IN CHILDREN: IS IT SAFE AND FEASIBLE?
Ahmed FAHMY, Mohamed YOUSSIF, Haytham BADAWY, Walid DAWOUD
and Samir ORABI
Alexandria University, Urology Department, Alexandria, EGYPT
PURPOSE
Bilateral simultaneous retrograde intrarenal surgery in children has the potential advantages of
omitting the need for second intervention together with reducing cost and length of hospital stay.
Aim of the current study is to assess the safety and feasibility of this approach in children.