Authors: W Gamal M Aldahshoury A Hammady Mohamed Hussein M Osman Ahmed Mmdouh A Abouzeid
Publish Date: 2011/03/17
Volume: 43, Issue: 3, Pages: 613-617
Abstract
From Feb 2007 to Feb 2010 21 children 12 boys and 9 girls with unilateral single stone ureter with an average age of 85 years range 4–12 years were treated with 69 Fr semirigid ureteroscope for a stone size ranged from 5 to 10 mm mean 65 mm All the stones were radioopaque located in the upper ureter in 2 cases 95 in the middle ureter in 5 cases 24 and in the lower ureter in 14 cases 665 Complete holmium laser stone disintegration was applied in all cases without gravels removal No postoperative ureteral stent was inserted in any caseThe stones were successfully approached and completely disintegrated in a single session in 20 cases 952 All the procedures were done without ureteral orifice dilatation apart from 3 cases where another working guide wire was applied No intraoperative complications were recorded in the form of mucosal injury ureteral perforation or urinary extravasation There is no early postoperative complication in the form of urinary tract infection or colic apart from single case of hematuria which was successfully treated conservatively Two weeks postoperatively KUB kidney ureter and bladder films were completely free from any significant gravel 3 mm and US showed no hydronephrosis
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