Ureteroscopic Surgery for a Large Upper Ureteral Stone in an Infant with Bilateral Vesicoureteral Reflux
백민기, 김형곤, 이병기, 백성현, 노용수, 김교순, 강명범,
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백민기 ( Baek Min-Ki )
건국대학교 의과대학 비뇨기과학교실
김형곤 ( Kim Hyeong-Gon )
건국대학교 의과대학 비뇨기과학교실
이병기 ( Lee Byung-Ki )
건국대학교 의과대학 비뇨기과학교실
백성현 ( Paick Sung-Hyun )
건국대학교 의과대학 비뇨기과학교실
노용수 ( Lho Yong-Soo )
건국대학교 의과대학 비뇨기과학교실
김교순 ( Kim Kyo-Sun )
건국대학교 의과대학 소아과학교실
강명범 ( Kang Myung-Beom )
건국대학교 의과대학 비뇨기과학교실
KMID : 0358320100510010073
Abstract
Pediatric urolithiasis is a relatively rare disease that can have lifelong consequences. The management of pediatric urolithiasis should be individualized with careful consideration of the patients’ small body sizes, delicate tissues, needs for general anesthesia with every procedure, and risks of long-term complications. Miniaturization of urological instruments has made the treatment of distal ureteral stones by ureteroscopy in children more common, but there are few reports of the ureteroscopic removal of large upper ureteral stones in infants. We present a case of a 10-month-old female who simultaneously underwent ureteroscopic surgery and endoscopic Deflux injection for treatment of a 22x10 mm unilateral upper ureteral stone and bilateral vesicoureteral reflux. We also review the current treatment options for pediatric urolithiasis.
키워드
Urolithiasis;Infant;Ureteroscopy;Vesico-ureteral reflux
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