To evaluate the characteristics and outcomes of ureteroscopy (URS) in children treated in several hospitals participating in the Clinical Research Office of the Endourological Society (CROES) Study. Moreover, to present the overall results of pediatric URS compared with adults.
The CROES Study collected data on consecutive patients treated with URS for urolithiasis at each participating center over a 1-year period. The collected prospective global database includes data for 11,885 patients who received URS at 114 centers in 32 countries. Of these URS treated patient 192 were ≤ 18 years.
Of the 114 centres participating in the study, 42% had conducted pediatric URS. Among the pediatric cases, 7 were infants, 53 were small children, 59 were school-aged children, and 73 were adolescents. A considerable number (37%) of the pediatric cases had previously undergone URS treatment. No differences in the surgical outcomes of the adults and children were reported. The URS-treated children had a greater number of positive pre-operative urine cultures when compared to adult cases treated A semi-rigid scope was used in the vast majority of pediatric cases (85%). According to the present data, within the group of URS-treated children, the younger the child, the more readmissions occurred.
URS is as efficient and safe in children as it is in adults. The data suggest that readmissions among URS-treated children are associated with age, with the likelihood of readmissions greater among younger age groups.
Urology. 2016 Jan 22 [Epub ahead of print]
Selcuk Guven, Abbas Basiri, Anil Kumar Varshney, Ibrahim Atilla Aridogan, Hiroyasu Miura, Mark White, Mehmet Kilinc, Jean de la Rosette
Necmettin Erbakan University, Meram Medical School, Department of Urology, Konya, Turkey; Istanbul Medipol University, Department of Urology, Istanbul, Turkey., Urology and Nephrology Research Center, Labbafinejad hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran., RG Stone Urology and Laparoscopy Hospital, New Delhi, India., Cukurova University, School of Medicine, Department of Urology, Adana, Turkey., Department of Urology, Hachinohe Heiwa Hospital, Hachinohe, Japan., Urological Institute of Northeastern New York, Albany Medical College, Albany, New York, United States of America., Necmettin Erbakan University, Meram Medical School, Department of Urology, Konya, Turkey., AMC University Medical Centre, Department of Urology, Amsterdam, The Netherlands. Electronic address: .