Purpose:To present our experience with the acute presentation of urolithiasis after laparoscopic renal denervation and nephropexy for intractable renal pain in the pediatric patient.
Material and Methods:Five patients aged 8 to 16 years (mean age 11.4) with a history of laparoscopic renal denervation presented with acute abdominal symptoms and diagnosed with obstructing urolithiasis.
Results:There were a total of 12 episodes of acute urolithiasis in this cohort. All 5 patients presented with periumbilical and epigastric discomfort when the stone was on the denervated side. During the episodes, of the 5 patients, 3 (60%) also presented with vomiting; 4 (80%) had at least one episode of gross hematuria; and 5 (100%) had microscopic hematuria during episodes on the denervated side. None of the patients presented with flank discomfort on the denervated side.
Conclusions: Stone related pain in patients undergoing laparoscopic renal denervation and nephropexy is not a typical presentation, and one needs to be wary of vague abdominal pain in this population.
Written by:
Ross C, Carr MC, Casale P. Are you the author?
Children's Hospital of Philadelphia, Urology, Philadelphia, Pennsylvania, United States.
Reference: J Endourol. 2012 May 7. Epub ahead of print.
doi: 10.1089/end.2011.0463
PubMed Abstract
PMID: 22563712
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