Central Asian Journal of Pediatrics

Central Asian Journal of Pediatrics


Ureter stones are reason of many serious complications; therefore, it is necessary to eliminate supraspinal obstruction in short term with minimal invasive methods using. Material et methods: Transurethral ureter lithotripsy (TUULT) is method of choice in ureter stones. This type of surgery may be accompanied by complications. A review of the literature shows that currently there is no consensus on how to distribute ureter lithotripsy postoperative complications according to severity. This, in turn, makes it difficult to perform a comparative analysis of the results of ureter lithotripsy produced in various clinics. The aim of this study was: to evaluate the effectiveness of TUULT in children and to systematize postoperative complications using the modified Clavien-Dindo classification. The study was conducted in a group of 126 children with ureteral stones from January 2012 to December 2018. According to the authors, it was revealed that after TUULT, 120 (95.2%) children managed to completely rid the children of stones and their fragments. In the postoperative period after TUULT, deviation from the standard course was observed in 34 (27%) cases, regarding this situation as a complication, according to the modified Clavien-Dindo classification. Hyperthermia without signs of exacerbation of UTI was observed in 6 (4.7%) cases; hematuria that does not require the use of hemostatic, additional infusion therapy, diuretics - in 3 (2.4%); clinical and laboratory exacerbation of chronic pyelonephritis - in 6 (4.7%); the need for non-steroidal anti-inflammatory drugs more than 48 hours after surgery - in 12 (9.5%); stein Strasse - in 4 (3.2%); nephrostomy drainage replacement - in 1 (0.8%); urosepsis (including SIRS) - in 1 (0.8%) cases. The results showed that the use of the modified Clavien-Dindo classification for the assessment of postoperative complications allows an objective comparison of the results of different authors, however, appropriate changes should be made regarding the results of the use of TUULT in children.

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1. De Dominicis M., Matarazzo E., Capozza N., Collura G., Caione P. Retrograde ureteroscopy for distal ureteric stone removal in children // BJU Int. – 2005. – Vol. 95 (7). - 1049-1052. 2. Dindo D., Demartines N., Clavien P.A. Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey // Ann Surg. – 2004. – Vol. 240. - 205-213. 3. Dogan H.S., Onal B., Satar N., Aygun C., Piskin M. et all. Factors affecting complication rates of ureteroscopic lithotripsy in children: results of multi-institutional retrospective analysis by Pediatric Stone Disease Study Group of Turkish Pediatric Urology Society. // J Urol. – 2011. – Vol. 186(3). - 1035-1040. 4. Fong Y.K., Ho S.H., Peh O.H., Ng F.C., Lim P.H., Quek P.L., Ng K.K. Extracorporeal shockwave lithotripsy and intracorporeal lithotripsy for proximal ureteric calculi--a comparative assessment of efficacy and safety.Ann Acad Med Singapore. 2004; 33(1):80-3. 5. Galal E.M., Fath El-Bab T.K., AbdelhamidA.M.Outcome of ureteroscopy for treatment of pediatric ureteral stones.J Pediatr Urol. 2013;9(4):476-8. 6. Halinski A., Halinski A., Zaniew M., Kudliński B., Soltysiak J., Sobolewski B., Steyaert H. Interest of URS-L in the Treatment of Ureterolithiasis in Preschool Children.Front Pediatr. 2019; 6;7:324. 7. Jalbani M.H. Minimally invasive approach for pediatric ureteric calculi. J Surg Pak 2009; 14:15-8. 8. Mokhless I., Marzouk E., ThabetAel-D., Youssif M., Fahmy A. Ureteroscopy in infants and preschool age children: technique and preliminary results.Cent European J Urol. 2012; 65(1):30-2. 9. Mandal S., Goel A., Singh M.K., Kathpalia R. et al Clavien classification of semirigidureteroscopy complications: a prospective study. Urology. 2012; 80(5):995–1001. 10. Mitropoulos D., Artibani W., Graefen M. et al. Reporting and grading of complications after urologic surgical procedures: an ad hoc EAU Guidelines Panel Assessment and Recommendations. Eur. Urol. 2012;61(2):341–349. 11. Raza A., Smith G., Moussa S., Tolley D. Ureteroscopy in the management of pediatric urinary tract calculi. J Endourol 2005; 19:151. 12. Sforza S., Tuccio A., Grosso A.A., Crisci A., Cini C., Masieri L. Could surgical experience of adult endourologist overcome the learning curve of retrograde intrarenal surgery in children?Urolithiasis. 2019; 19. 13. Tekgül S., Dogan H.S., Hoebeke P., et al. Guidelines on Paediatric Urology. European Society for Paediatric Urology. European Association of Urology 2016. 2. 14. Magomedov E.A., Dutov V.V., Bazaev V.V., Podoynitsin A.A., Buymistr S.Yu. CLAVIEN–DINDO classification adaptation in ureterolythotripsy complications. Urology. – 2019. – Vol. 3. 84-88. (in Russ.)



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