Totally ultrasound-guided minimally invasive percutaneous nephrolithotomy in children: Is it safe?

Ali Eslahi; Mohammad Mehdi Hosseini; Faisal Ahmed; Delara Tanaomi; Seyyed Hossein Hosseini; Mohammad Reza Askarpour; Hossein-Ali Nikbakht; Khalil Al-Naggar

doi:10.4103/ajps.AJPS_13_21

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ORIGINAL ARTICLE

Year : 2022 | Volume : 19 | Issue : 2 | Page : 68-72

Totally ultrasound-guided minimally invasive percutaneous nephrolithotomy in children: Is it safe?

Ali Eslahi¹, Mohammad Mehdi Hosseini², Faisal Ahmed³, Delara Tanaomi⁴, Seyyed Hossein Hosseini⁴, Mohammad Reza Askarpour⁴, Hossein-Ali Nikbakht⁵, Khalil Al-Naggar³
¹ Department of Urology, School of Medicine, Shiraz University of Medical Sciences; Shiraz Geriatric Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
² Shiraz Nephrology-Urology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
³ Department of Urology, Urology Research Center, Al-Thora Hospital, Ibb University of Medical Since, Ibb, Yemen
⁴ Department of Urology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
⁵ Department of Biostatics and Epidemiology, Social Determinates of Health Research Center, Faculty of Medicine, Babol University of Medical Sciences, Babol, Iran

Correspondence Address:
Dr. Faisal Ahmed
Urology Research Center, Al-Thora General Hospital, Alodine Street, Ibb 70270
Yemen

Source of Support: None, Conflict of Interest: None

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DOI: 10.4103/ajps.AJPS_13_21

Objective: The objective of the study was to assess the outcome and feasibility of ultrasonography (US)-guided minimally invasive percutaneous nephrolithotomy (mini-PCNL) in children. Materials and Methods: Twenty-five children with upper urinary tract stones who had undergone US-guided mini-PCNL from June 2017 to June 2020 were enrolled in this study. Patients' demographic information and post-treatment results were retrospectively gathered and analysed. Pyelocaliceal system was punctured in prone position using US guidance, and the tract was dilated using single-shot dilation technique. All steps of renal access were done using only US. Mini-PCNL in all cases was done by using 15 Fr rigid nephroscope. Stones were fragmented with a pneumatic lithotripter and evacuated. Results: The patients' mean age was 6.30 ± 3.25 years (range: 1.5–15). The mean stone size was 16.04 ± 3.93 mm (range: 10–30). The mean access time to the stone was 1.50 ± 0.62 min (range: 1–4). The mean operation time was 94.66 ± 3.05 min (range: 90–100 min). The final stone-free rate was 96%. Post-operation fever occurred in 4 (16%) patients who were treated successfully with an antibiotic. No major complications occurred. Conclusions: We recommend US-guided mini-PCNL as a harmless alternative treatment option, in children with renal calculi due to its excellent outcomes and little complications.

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