Research and Reports in Urology (Dec 2020)

Small Ureteral Access Sheath in Treating Paediatric Urolithiasis: A Single Centre Experience

  • Aljumaiah S,
  • Allubly N,
  • Alshammari A,
  • Alkhamees M,
  • Bin Hamri S

Journal volume & issue
Vol. Volume 12
pp. 663 – 668

Abstract

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Sahar Aljumaiah,1,2 Nasser Allubly,3 Ahmad Alshammari,1,2,4 Mohammad Alkhamees,5 Saeed Bin Hamri1,2,4 1Division of Urology, Department of Surgery, Ministry of the National Guard – Health Affairs, Riyadh, Saudi Arabia; 2King Abdullah International Medical Research Center (KAIMRC), Riyadh 11426, Saudi Arabia; 3Department of Urology, Department of Surgery, King Fahad Hufof Hospital, Al-Ahsa, Saudi Arabia; 4College of Medicine, King Saud Bin Abdulaziz University for Health Sciences (KSAU-HS), Riyadh 11426, Saudi Arabia; 5Department of Urology, College of Medicine, Majmaah University, Al-Majmaah, Saudi ArabiaCorrespondence: Sahar AljumaiahDivision of Urology, Department of Surgery, Ministry of the National Guard – Health Affairs, Riyadh, Saudi ArabiaTel +966-551763208Email [email protected]: Urolithiasis is not commonly encountered in the pediatric population. The adoption of ureteral access sheaths (UAS) facilitates the passage to the pediatric ureter and limits the harm and ureteral injury. However, the debate continues regarding whether or not to use UAS in children.Objective: To assess the safety and outcomes of using UAS in the treatment of pediatric renal and ureteral stones.Study Design: This was a prospective cohort study of 14 pediatric patients who underwent flexible ureteroscopy (fURS) with the use of UAS for symptomatic renal and ureteric stones.Results: Of the fourteen enrolled patients, nine (64.3%) were males, and five (35.7%) were females with an average age of 9.5 years. Eleven (78.6%) of the patients were rendered stone-free. The average operative time was 55.7 min. None of the patients developed any complications. The stone-free rate was significantly higher with stone burdens of ≤ 10 mm (p ≤ 0.05).Conclusion: The use of UAS in children facilitates the passage of a flexible ureteroscope without complications. The procedure is considered to be efficient and safe with minimal morbidity.Keywords: urolithiasis, UAS, urethral access sheath, pediatric

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