Endoscopic Laser Stone surgery (URS with Holmium) for a child with ureteric calculus: Mitr Hospital скачать в хорошем качестве

Endoscopic Laser Stone surgery (URS with Holmium) for a child with ureteric calculus: Mitr Hospital

Posted by Pediatric Urology Department at MITR Hospital, Kharghar, Navi Mumbai, India Phone: +91222774-3558, 4229, 4269 & +91-9324180553 At Mitr Hospital, we have started Kidney stone Clinic for children to disseminate information & knowledge to parents & families having children with kidney stones, treat children with kidney stones and initiate preventive measures to avoid recurrence of stones in the little ones. Till some years back, children suffering from kidney/ urinary stones, were a rarity and unheard of. With changes in diet & lifestyle, the incidence of kidney stones in children has increased significantly. • Children less than 12 years comprise 1% of all population with kidney stones but this is old data. Recent studies have shown increasing incidence of Kidney stones in children worldwide. Studies from USA and Europe have highlighted this too. We are seeing the same in India. • Children with Kidney stones should be managed separately from adults as causes, risk factors and management is different. Adult findings cannot be extrapolated to developing kidneys in kids. • Upto 50% of the children may have underlying abnormalities leading to formation of kidney stones such as high calcium in urine, low citrate in urine, high uric acid or oxalates in urine. • Stone formation occurs when balance between stone forming substances in urine such as calcium, oxalate, phosphate and stone inhibiting substances such as citrate or magnesium gets disturbed. • Most common are calcium oxalate stones. • There is high rate of recurrence of stones in children if full clearance is not achieved or metabolic evaluation is not performed and managed. Recent Studies have shown increasing incidence of urinary stones in kids. At Pediatric Urology division at MITR Hospital, we see about 7-8 cases of children with kidney stones every month for last 1 year. Treatment of ureteric stones in children: For stones stuck in the ureter, we try conservative treatment first especially for stones smaller than 6mm. For larges stone endoscopic stone surgery using holmium laser is preferred. URS (Uretero-renoscopy): For the stones which are stuck in the urinary pipe (Ureter)- Uretero-renoscopy can be performed. A small miniaturized telescope is passed through the natural passages into the urinary system and the stones are treated with a holmium laser. With newer & smaller diameter flexible scopes, doctors can even reach the kidney stones with URS.