| Renal and ureteral stones in V.A.C.T.E.R.L. association: endourological management. | |
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MedLine Citation:
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PMID: 23341199 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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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. |
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Authors:
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Pietro Granelli; Davide Campobasso; Paolo Salsi; Giuseppe Cretì; Matteo Moretti; Antonio Cisternino; Antonio Frattini; Stefania Ferretti; Pietro Cortellini |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2013-1-22 |
Journal Detail:
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Title: Urologia Volume: 0 ISSN: 0391-5603 ISO Abbreviation: Urologia Publication Date: 2013 Jan |
Date Detail:
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Created Date: 2013-1-23 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0417372 Medline TA: Urologia Country: - |
Other Details:
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Languages: ENG Pagination: 0 Citation Subset: - |
Affiliation:
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U.O. Urologia (Direttore: Dott. Pietro Cortellini), Dipartimento di Chirurgia Azienda Ospedaliero-Universitaria di Parma, Parma - Italy. |
Vernacular Title:
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calcolosi reno-ureterale nella sindrome di v.a.c.t.e.r.l.: risoluzione endourologica. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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