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Pediatric Percutaneous Nephrolithotomy (PCNL): Overcoming the Difficulties

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Difficult Cases in Endourology

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Abstract

Kidney stones in children are endemic in developing countries. Recurrences may be frequent, and patients will usually require surgical intervention more than once in their lifetime. The majority of kidney stones in children can be managed using less invasive techniques. Proper treatment planning and the use of appropriate instrumentation are critical for optimal outcomes. Surgeons who perform percutaneous surgery in pediatric patients are more experienced in developing countries because of the large number of cases found there.

Pediatric stone disease is usually associated with anatomic or metabolic abnormalities and urinary tract infection. With the advent of diagnostic and therapeutic modalities, it is now easy to evaluate predisposing factors, structural anatomy, and stone localizations in detail, and a wide range of treatment options are available.

Since its introduction, percutaneous nephrolithotomy (PCNL) has replaced open surgical procedures in the adult population; however, due to technical limitations and the lower number of pediatric cases, this technique has only recently been applied to the pediatric population. Today, shock wave lithotripsy (SWL) and other retrograde endourological procedures are also being used in the pediatric population.

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Authors and Affiliations

  1. Department of Urology, Acibadem Fulya Hospital, Hakki Yeten Cad. Yesilcimen Sok. No. 23, Besiktas, Istanbul, 34349, Turkey

    Sinan Zeren M.D. & Hakan Çakir M.D.

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  1. Sinan Zeren M.D.
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  2. Hakan Çakir M.D.
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Correspondence to Sinan Zeren M.D. .

Editor information

Editors and Affiliations

  1. Fac. Medicine, Dept. Surgery, Kuwait University, Safat, Kuwait

    Ahmed M. Al-Kandari

  2. , Department of Urology, Muljibhai Patel Urological Hospital, Dr Virendra Desai Road, Nadiad, 387 001, India

    Mahesh Desai

  3. , Urology and Nephrology Center, Mansoura University, Gomhoria Street, Mansoura, 35516, Egypt

    Ahmed A. Shokeir

  4. , Urology and Nephrology Center, Mansoura University, Gomhoria Street, Mansoura, 35516, Egypt

    Ahmed M. Shoma

  5. , Smith Institute for Urology, Long Island Jewish Health System, New York, 11040, USA

    Arthur D. Smith

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© 2013 Springer-Verlag London

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Zeren, S., Çakir, H. (2013). Pediatric Percutaneous Nephrolithotomy (PCNL): Overcoming the Difficulties. In: Al-Kandari, A., Desai, M., Shokeir, A., Shoma, A., Smith, A. (eds) Difficult Cases in Endourology. Springer, London. https://doi.org/10.1007/978-1-84882-083-8_28

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  • DOI: https://doi.org/10.1007/978-1-84882-083-8_28

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-84882-082-1

  • Online ISBN: 978-1-84882-083-8

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