RIRS Outcomes in Children with Large or Multiple Renal Stones

What is it about?

The study analyzed the outcomes of retrograde intra renal surgery (RIRS) in children with large or multiple stones. It found that while RIRS can be performed in these cases, the complication rate and need for repeat intervention is significantly higher. The operation time was longer in Group 2, and the stone-free rate after a single procedure was lower in Group 2 compared to Group 1. The most frequently reported complication in both groups was postoperative fever requiring medication.

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Why is it important?

This research is important because it provides valuable insight into the outcomes of retrograde intra-renal surgery (RIRS) in children with large or multiple stones. Understanding the efficacy and safety of this procedure in this specific patient population can help urologists make informed decisions about the best treatment options for their patients. Key Takeaways: 1. RIRS can be performed in children with large and multiple stone burdens, but the complication rate is significantly higher when compared to smaller stones. 2. The majority of complications in this patient group are minor in severity. 3. Close post-operative observation is of even higher importance in this patient group. 4. Parents must be counselled about the need for a staged procedure for complete stone clearance in such cases.