Renal and ureteral stones in V.A.C.T.E.R.L. association: Endourological management - Abstract

Background: The endourological technique is a safe and effective approach in the treatment of large stones in the pediatric population with congenital malformations.

Introduction: The VACTERL association is a group of congenital malformations that include vertebral defects, anal atresia, cardiac defects, tracheoesophageal fistula with atresia, renal defects, and radial upper limb dysplasia. Renal anomalies are found in approximately 90% of patients.

Materials and methods: We present a case of a 7-year-old girl with VACTERL association and cloacal malformations, undergoing multiple surgeries with subsequent Mitrofanoff continent appendico-vesicostomy. She presented at our attention for centimetric left ureteral and inferior pyelo-calyceal stones. She underwent flexible ureteroscopy with laser lithotripsy of both stones. A ureteral catheter and a nephrostomy tube have been left at the end of the procedure. 

Results: The ureteral catheter was removed in the 2nd post-operative day, the tubes were removed after a nephrostogram in the 8th post-operative day. The patient is stone-free. No complications were observed in the post-operative time.

Conclusions: Endoscopy is the method of choice for the management of pediatric urolithiasis with complex renal calculi, due to its low incidence of major complications and a high stone-free rate.

Written by:
Granelli P, Campobasso D, Salsi P, Cretì G, Moretti M, Cisternino A, Frattini A, Ferretti S, Cortellini P.   Are you the author?
U.O. Urologia (Direttore: Dott. Pietro Cortellini), Dipartimento di Chirurgia Azienda Ospedaliero-Universitaria di Parma, Parma - Italy.

Reference: Urologia. 2013 Jan 22;0(0):0.
doi: 10.5301/RU.2013.10616

PubMed Abstract
PMID: 23341199 Endourology Section







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