Pediatric Genitourinary Intervention
Percutaneous techniques offer several advantages over open surgery in the treatment of many pediatric genitourinary diseases. The pediatric interventionalist routinely performs minimally invasive procedures on patients, frequently as outpatients utilizing procedural sedation, which would otherwise require general anesthesia and lengthy hospital admissions if treated surgically. The minimally invasive nature of percutaneous therapy also results in cost reduction. The outcomes of percutaneous techniques have now been established as equal to or better than the corresponding surgical techniques in many instances. In spite of this, pediatric genitourinary intervention has grown relatively slowly over the past decade. Limited growth in this area is likely due to a variety of factors, especially the preference of urologists to perform combined percutaneous and surgical procedures in the operating room. Most referrals to pediatric interventional radiologists are cases that are difficult to treat operatively or with endoscopic techniques. Consequently, a relatively small number of children are referred to pediatric interventionalists for routine percutaneous urologic procedures. This trend continues today.
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