Document Detail

Renal and ureteral stones in V.A.C.T.E.R.L. association: endourological management.
MedLine Citation:
PMID:  23341199     Owner:  NLM     Status:  Publisher    
Background: The endourological technique is a safe and effective approach in the treatment of large stones in the pediatric population with congenital malformations.
Introduction: The VACTERL association is a group of congenital malformations that include vertebral defects, anal atresia, cardiac defects, tracheoesophageal fistula with atresia, renal defects, and radial upper limb dysplasia. Renal anomalies are found in approximately 90% of patients.
Materials and methods: We present a case of a 7-year-old girl with VACTERL association and cloacal malformations, undergoing multiple surgeries with subsequent Mitrofanoff continent appendico-vesicostomy. She presented at our attention for centimetric left ureteral and inferior pyelo-calyceal stones. She underwent flexible ureteroscopy with laser lithotripsy of both stones. A ureteral catheter and a nephrostomy tube have been left at the end of the procedure. 
Results: The ureteral catheter was removed in the 2nd post-operative day, the tubes were removed after a nephrostogram in the 8th post-operative day. The patient is stone-free. No complications were observed in the post-operative time.
Conclusions: Endoscopy is the method of choice for the management of pediatric urolithiasis with complex renal calculi, due to its low incidence of major complications and a high stone-free rate.
Pietro Granelli; Davide Campobasso; Paolo Salsi; Giuseppe Cretì; Matteo Moretti; Antonio Cisternino; Antonio Frattini; Stefania Ferretti; Pietro Cortellini
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-1-22
Journal Detail:
Title:  Urologia     Volume:  0     ISSN:  0391-5603     ISO Abbreviation:  Urologia     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-1-23     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0417372     Medline TA:  Urologia     Country:  -    
Other Details:
Languages:  ENG     Pagination:  0     Citation Subset:  -    
U.O. Urologia (Direttore: Dott. Pietro Cortellini), Dipartimento di Chirurgia Azienda Ospedaliero-Universitaria di Parma, Parma - Italy.
Vernacular Title:
calcolosi reno-ureterale nella sindrome di v.a.c.t.e.r.l.: risoluzione endourologica.
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