Abstract
Paediatric nephrolithiasis is seen more and more frequently, with patients often presenting to the emergency department with acute symptoms requiring immediate evaluation and treatment. The pain is usually due to a stone stuck at some level of the ureter, causing variable degree of obstruction. Aside from symptoms control, the paediatric urologist has to plan the best strategy for the stone treatment. This varies from medical therapy only to a series of surgical procedure aimed at releasing the obstruction and removing the stone completely. Nowadays, a widely adopted approach to ureteric stones is ureteroscopy, which has shown high stone-free rates and low post-operative complications in expert hands. It can be performed as an emergency or planned as an elective procedure after a safe pre-stenting of the affected ureter. Dealing with paediatric nephrolithiasis needs surgeons who master endourology and a theatre staff confident with all the instruments potentially necessary, in order to be able to choose and change the surgical strategy upon specific patient and stone features.
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Masieri, L., Bortot, G., Sforza, S., Cini, C., Mantovani, A. (2022). Minimally Invasive Treatment of Ureteric Stones in Children. In: Esposito, C., Subramaniam, R., Varlet, F., Masieri, L. (eds) Minimally Invasive Techniques in Pediatric Urology. Springer, Cham. https://doi.org/10.1007/978-3-030-99280-4_37
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