Skip to main content

Pediatric Genitourinary Intervention

  • Chapter
Pediatric Uroradiology

Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

  • 154 Accesses

Abstract

Percutaneous techniques offer several advantages over open surgery in the treatment of many pediatric genitourinary diseases. The pediatric interventionalist routinely treats patients with conscious sedation on an outpatient basis that would 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 technique 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 which are difficult to treat operatively or with endoscopic techniques. Consequently, a minority of children are referred for routine procedures.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 74.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Badlani G, Eshghi M, Smith A (1986) Percutaneous surgery for ureteropelvic junction obstruction (endopyelotomy): technique and early results. J Urol 135: 26–28

    PubMed  CAS  Google Scholar 

  • Ball WS, Towbin R, Strife JL, Spencer R (1986) Interventional genitourinary radiology in children: a review of GI procedures. AJR 147: 791–796

    PubMed  Google Scholar 

  • Barbaric ZL, Göthlin JH, Davies RS (1977) Transluminal dilatation and stent placement in obstructed ureters in dogs through the use of percutaneous nephropyelostomy. Invest Radiol 12: 534–536

    Article  PubMed  CAS  Google Scholar 

  • Boddy SAM, Kellett MJ, Fletcher MS et al. (1987) Extracorporeal shock wave lithotripsy and percutaneous nephrolithotomy in children. J Pediatr Surg 22: 223–227

    Article  PubMed  CAS  Google Scholar 

  • Bogaert GA, Kogan BA, Mevorach RA et al. (1996) Efficacy of retrograde endopyelotomy in children. J Urol 156: 734–737

    Article  PubMed  CAS  Google Scholar 

  • Brooks JD, Kavoussi LR, Preminger GM et al. (1995) Comparison of open and endourologic approaches to the obstructed ureteropelvic junction. Urology 46: 791–795

    Article  PubMed  CAS  Google Scholar 

  • Capulicchio G, Homsy YL, Houle AM et al. (1997) Long-term results of percutaneous endopyelotomy in the treatment of children with failed open pyeloplasty. J Urol 158: 1534–1537

    Article  Google Scholar 

  • Cope C, Zeit RM (1982) Pseudoaneurysms after nephrostomy. AJR 139: 255–261

    PubMed  CAS  Google Scholar 

  • David SM (1943) Intubated ureterotomy, new operations for ureteral and ureteropelvic stricture. Surg Gynecol Obstet 76: 513–523

    Google Scholar 

  • Doormashkin RL (1926) Dilatation of ureter with rubber bags in the treatment of ureteral calculi. Presentation of a modified operating cystoscope: a preliminary report. J Urol 15: 449

    Google Scholar 

  • Fernstrom I, Johanasson B (1976) Percutaneous pyelolithotomy. A new extraction technique. Scand J Urol Nephrol 10: 257–259

    PubMed  CAS  Google Scholar 

  • Figenshau RS, Clayman RV, Colberg JW et al. (1996) Pediatric endopyelotomy: the Washington University experience. J Urol 156: 2025–2030

    Article  PubMed  CAS  Google Scholar 

  • Gedroyc WMW, MacIver D, Joyce MRL et al. (1989) Percutaneous stone and stent removal from renal transplants. Radiology 40: 174–177

    CAS  Google Scholar 

  • Gerber GS, Lyon ES (1994) Endopyelotomy: Patient selection, results and complications. Urol 43: 2–10

    Article  PubMed  CAS  Google Scholar 

  • Gonzalez-Serva L, Weinerth JL, Glenn JF (1977) Minimal mortality of renal surgery. Urology 9: 253–255

    Article  PubMed  CAS  Google Scholar 

  • Goodwin WE, Casey WC, Woolf W (1955) Percutaneous trocar (needle) in hydronephrosis. JAMA 157: 891–894

    Article  CAS  Google Scholar 

  • Hulbert JC, Reddy PK, Gonzales R et al. (1985) Percutaneous nephrolithotomy: an alternative approach to the management of pediatric calculus disease. Pediatrics 76: 610–612

    PubMed  CAS  Google Scholar 

  • Hunter DW, Costaneda-Zuniga WR, Coleman CC et al. (1983) Percutaneous techniques in the management of urological complications in renal transplant patients. Radiology 148: 407–412

    PubMed  CAS  Google Scholar 

  • Irving HC, Arthur RJ, Thomas DFM (1987) Percutaneous nephrostomy in pediatrics. Clin Radiology 38: 245–248

    Article  CAS  Google Scholar 

  • Kadir S, White RI, Engel R (1982) Balloon dilatation of a ureteropelvic junction obstruction. Radiology 143: 263–264

    PubMed  CAS  Google Scholar 

  • Kavoussi LR, Albala DM, Clayman R (1993) Outcome of secondary open surgical procedure in patients who fail primary endopyelotomy. Br J Urol 72: 157–160

    PubMed  CAS  Google Scholar 

  • Khan AM, Holman E, Pasztor I et al. (1997) Endopyelotomy: experience with 320 cases. J Endourol 11: 243–246

    Article  PubMed  CAS  Google Scholar 

  • Lee WJ, Loh G, Smith AD et al. (1985) Percutaneous extraction of renal stones: experience in 100 patients. AJR 144: 457–462

    PubMed  CAS  Google Scholar 

  • Lee WJ, Badlani GH, Karlin GS et al. (1988) Treatment of ureteropelvic strictures with percutaneous pyeloplasty: experience in 62 patients. AJR 151: 515–518

    PubMed  CAS  Google Scholar 

  • LeRoy AJ, Segura JW (1986) Percutaneous removal of renal calculi. Radiol Clin North Am 24: 615–622

    PubMed  CAS  Google Scholar 

  • LiPuma JP, Hoaga JR, Bryan PJ et al. (1984) Percutaneous nephrostomy in neonates and infants. J Urol 132: 722–724

    PubMed  CAS  Google Scholar 

  • Man DWK, Hendry GMA, Hamdy MH (1983) Percutaneous nephrostomy in pelviureteric junction obstruction in children. Br J Urol 55: 356–360

    Article  PubMed  CAS  Google Scholar 

  • Matsumoto AH, Dejter SW Jr, Barth KH et al. (1990) Percutaneous nephrostomy drainage in the management of neonatal anuria secondary to renal candidiasis. J Pediatr Surg 25: 1295–1297

    Article  PubMed  CAS  Google Scholar 

  • Motola JA, Badlani GH, Smith AD (1993) Results of 212 consecutive endopyelotomies: an 8-year follow-up. J Urol 149: 453–456

    PubMed  CAS  Google Scholar 

  • Pfister RC, Yoder IC, Newhouse JH (1981) Percutaneous uroradiologic procedures. Semin Roentgenol 16: 135–151

    Article  PubMed  CAS  Google Scholar 

  • Pode D, Shapiro A, Gordon R, Lebensart P (1982) Percutaneous nephrostomy for assessment of functional recovery of obstructed kidneys. Urology 19: 482–485

    Article  PubMed  CAS  Google Scholar 

  • Shepard P, Thomas R, Harmon EP (1988) Urolithiasis in children: innovations in management. J Urol 140: 790–792

    Google Scholar 

  • Stanley P, Bear JW, Reid BS (1983) Percutaneous nephrostomy in infants and children. AJR 141: 473–477

    PubMed  CAS  Google Scholar 

  • Stanley P, Diament MJ (1986) Pediatric percutaneous nephrostomy: experience with 50 patients. J Urol 135: 1223–1226

    PubMed  CAS  Google Scholar 

  • Towbin RB, Wacksman J, Ball WS et al. (1987) Percutaneous pyeloplasty in children: experience in three patients. Radiology 163: 381–384

    PubMed  CAS  Google Scholar 

  • Whitaker RH (1981) Percutaneous upper urinary tract dynamics in equivocal obstruction. Urol Radiol 2: 187–189

    Article  PubMed  CAS  Google Scholar 

  • Whitfield HN, Mills V, Miller RA et al. (1983) Percutaneous pyelolysis: an alternative to pyeloplasty. Br J Urol [Suppl]: 93–96

    Google Scholar 

  • Wickham JEA, Kellett MJ (1983) Percutaneous pyelolysis. Eur Urol 9: 122–124

    PubMed  CAS  Google Scholar 

  • Winfield AC, Kirchner SG, Brun ME et al. (1984) Percutaneous nephrostomy in neonates, infants and children. Radiology 151: 617–619

    PubMed  CAS  Google Scholar 

  • Woodside JR, Stevens GF, Stark GL et al. (1985) Percutaneous stone removal in children. J Urol 134: 1166–1167

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2001 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Towbin, R., Kuhn, C., Cahill, A.M. (2001). Pediatric Genitourinary Intervention. In: Fotter, R. (eds) Pediatric Uroradiology. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-59428-1_24

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-59428-1_24

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-43557-0

  • Online ISBN: 978-3-642-59428-1

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics