While urolithiasis in children is rare, the global incidence is rising, and the volume of minimally invasive surgeries being performed reflects this. There have been many developments in the technology, which have supported the advancement of these interventions. However, innovation of this kind has also resulted in wide-ranging practice patterns and debate regarding how they should be best implemented. This is in addition to the extra challenges faced when treating stone disease in children where the patient population often has a higher number of comorbidities and for example, the need to avoid risk such as ionising exposure is higher. The overall result is a number of challenges and controversies surrounding many facets of paediatric stone surgery such as imaging choice, follow-up and different treatment options, for example, medical expulsive therapy, shockwave lithotripsy, ureteroscopy, and percutaneous nephrolithotomy. This article provides an overview of the current status of paediatric stone surgery and discussion on the key topics of debate.
Therapeutic advances in urology. 2023 Mar 18*** epublish ***
Patrick Juliebø-Jones, Etienne Xavier Keller, Lazaros Tzelves, Christian Beisland, Bhaskar K Somani, Peder Gjengstø, Mathias Sørstrand Æsøy, Øyvind Ulvik
Department of Urology, Haukeland University Hospital, Jonas Lies vei 65, 5021 Bergen, Norway., Department of Urology, University Hospital Zurich, University of Zurich, Zurich, Switzerland EAU YAU Urolithiasis Group, Arnhem, The Netherlands., Second Department of Urology, National and Kapodistrian University of Athens, Sismanogleio General Hospital, Athens, Greece EAU YAU Urolithiasis Group, Arnhem, The Netherlands., Department of Urology, Haukeland University Hospital, Bergen, NorwayDepartment of Clinical Medicine, University of Bergen, Bergen, Norway., Department of Urology, University Hospital Southampton, Southampton, UK., Department of Urology, Haukeland University Hospital, Bergen, Norway., Haukeland University Hospital, Bergen, NorwayDepartment of Clinical Medicine, University of Bergen, Bergen, Norway.