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Cirugía y cirujanos
On-line version ISSN 2444-054XPrint version ISSN 0009-7411
Abstract
BARZALLO-SANCHEZ, Jorge L. et al. Contemporary management of urinary tract stone disease in children within a high volume institution in Mexico. Cir. cir. [online]. 2021, vol.89, n.4, pp.528-533. Epub Nov 03, 2021. ISSN 2444-054X. https://doi.org/10.24875/ciru.20001261.
Background:
Pediatric urolithiasis is a rare condition around the world. Its presence and incidence are augmenting in developing countries, remarking the importance for urologists to keep updated to latest trends about its management.
Objective:
The aim of this study was to describe the clinical features and therapeutic surgical options and results for urinary tract stone disease in pediatric patients.
Materials and Methods:
This study included all pediatric patients who undergo surgical procedures to manage pediatric urolithiasis between 2017 and 2020 who had complete medical records and adequate follow-up in the General Hospital of México "Dr. Eduardo Liceaga."
Results:
Twenty-one pediatric patients undergo surgical treatment for urinary lithiasis between 2017 and 2020. Males were more affected than female with a relation of 3:1. The mean age at the procedure time was between 1 and 5 years old. The majority of the patients had and adequate body mass index (BMI) according to percentile by age. The upper urinary tract was mostly affected by lithiasis, only 9% of cases were located in the lower urinary tract. The majority of cases were treated with minimal invasive techniques with 14% of complications, and success rate of 90.47%.
Conclusions:
Urinary lithiasis is more common in male, usually locates at the upper urinary tract, frequently in the group of 1-5 years old, most cases had an adequate BMI, and the most frequently used techniques are minimal invasive, with a lower rate of complications and great success.
Keywords : Urinary tract stone disease; Minimal invasive; Lithiasis.