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SYMPOSIUM
Year : 2010  |  Volume : 26  |  Issue : 4  |  Page : 568-572

Current status of retrograde intrarenal surgery for management of nephrolithiasis in children


Division of Urology, The Hospital for Sick Children, Toronto, Canada

Correspondence Address:
Walid A Farhat
Associate Professor, Pediatric Urologist, Division of Urology, The Hospital for Sick Children, 555 University Avenue, Toronto, M5G 1X8, Ontario
Canada
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-1591.74463

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Purpose : To review the current status of retrograde intrarenal surgery (RIRS) for renal stones in children focusing on its indications, outcomes and success in the management of nephrolithiasis. Materials and Methods : Between 1988 and 2009, a comprehensive PubMed/MEDLINE literature review on RIRS was conducted. Results : The available literature is limited and heterogeneous, skewed by favorable results on ureteral stone outcomes. However, recent case series report outcomes comparable to time-honored modalities: percutaneous nephrolithotomy and shock wave lithotripsy. Concerns about urinary tract damage are not substantiated by the yet available intermediate-term follow-up. Conclusions : RIRS seems to be an effective modality in pediatric nephrolithiasis management. However, long-term outcomes and comparative prospective randomized studies are awaited.


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