Kaan SONMEZ, Ramazan KARABULUT, Suleyman YESİL, Fazli POLAT, Zafer TURKYİLMAZ, A. Can BASAKLAR, Sibel ERYİLMAZ, Vokhid TAİROV

Flexible URS Böbrek Taşlarının Kırılmasında İlk Seçenek mi olmalıdır?

Boyutu 1.5-2 cm arasında olan böbrek taşı şikayeti ile başvuran çocuklarda eskiden ilk seçenek açık cerrahi iken günümüzde ilk tercih EUA pediatrik kılavuzuna göre Perkütan Nefrolitotomi (PNL) dir. Fakat mini rigid üreterorenoskop (URS) ve fleksible URS'nin laser proplarıyla beraber bu tip taşların kırılmasında kullanılmaya başlamıştır. Biz de bu sunum ile sağ böbreğinde 16 mm lik taşı olan 1 yaş erkek çocuktaki taşın kırılmasında fleksible URS ve laser kullanma deneyimimizi aktarmak istedik.

Should Flexible Ureterorenoscopy be the First-line Treatment Option for Renal Calculi?

While first-line treatment option for pediatric renal calculi, 1.5-2 cm in size, was open surgery in the past, percutaneous nephrolithotomy (PNL) is now the first-line treatment option in accordance with EUA pediatric guidelines. However, mini rigid ureterorenoscopy (URS) and the laser props of flexible URS have started to be used in the removal of these calculi. The present study aimed at conveying our experience in using flexible URS and laser on the removal of right renal calculus, 16 mm in size, in a 1-year-old male pediatric patient.

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