TY - JOUR AU - Whatley, Adele AU - Jones, Patrick AU - Aboumarzouk, Omar AU - Somani, Bhaskar K. PY - 2019 TI - Safety and efficacy of ureteroscopy and stone fragmentation for pediatric renal stones: a systematic review JF - Translational Andrology and Urology; Vol 8, Supplement 4 (September 24, 2019): Translational Andrology and Urology (Minimally Invasive Treatments for Kidney Stones) Y2 - 2019 KW - N2 - Flexible ureteroscopy (FURS) is now commonly used for the treatment of paediatric renal stones. We conducted a systematic review of literature looking at the outcomes of flexible ureteroscopy and laser lithotripsy (FURSL) for paediatric stone disease. A systematic review was conducted in a Cochrane style and in accordance PRISMA checklist using MEDLINE, CINAHL, EMBASE, Scopus, and Cochrane library for all English language articles in patients ≤18 years from 1990–2018 who underwent FURSL. A total of 11 studies reported on 431 patients, with a mean age of 8.5 years (range, 0.25–17 years). The mean stone size was 13 mm (range, 1.5–30 mm). The overall stone free rate (SFR) was 87% (58–100%) with a mean complication rate of 12.6% (n=55) (range, 0–31.3%) and 76% needing a post-operative ureteric stent insertion. Of the complications, Clavien I/II complications included fever and urinary tract infection (UTI) (n=19), haematuria (n=7), stent discomfort/stent symptoms/post-operative pain (n=8), voiding disturbance (n=2) and post-operative nausea and vomiting (n=1). Clavien III complications included ureteral injury which included perforation (n=6), urinoma (n=1), and acute urinary retention secondary to stone fragmentation (n=1). Clavien IV complications were urinoma (n=2) and no Clavien V complications were noted. Our review suggests that ureteroscopy and laser stone fragmentation for paediatric population is a safe and effective treatment with good SFR and a low risk of complications. UR - https://tau.amegroups.org/article/view/28930