Advertisement
How I do it| Volume 15, ISSUE 5, P570-573, October 2019

Totally fluoroless retrograde intrarenal surgery technique in prestented patients: tips and tricks

      Summary

      Treatment of urolithiasis has evolved greatly as retrograde intrarenal surgery (RIRS) has gained popularity nowadays being a gold standard therapy for renal stones up to 2 cm. Endourological procedures are traditionally fluoroscopic guided; thus, an increasing concern is the harm of radiation exposure, especially in the pediatric population. Therefore, performing fluoroless RIRS should be a feasible option for pediatric urologists. Herein, we describe the technique of totally fluoroless RIRS in presented patients and the tips to avoid radiation use at most.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of Pediatric Urology
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Delongchamp R.R.
        • Mabuchi K.
        • Yoshimoto Y.
        • Preston D.L.
        • Mar N.
        Cancer mortality among atomic bomb survivors exposed in utero or as young children, October 1950–May 1992.
        Radiat Res. 2016 Mar; 147: 385-395https://doi.org/10.2307/3579348
        • Brenner D.J.
        • Hall E.J.
        Computed tomography: an increasing source of radiation exposure.
        N Engl J Med. 2007 Nov 29; 357: 2277-2284https://doi.org/10.1056/NEJMra072149
        • Sodickson A.
        • Baeyens P.F.
        • Andriole K.P.
        • Prevedello L.M.
        • Nawfel R.D.
        • Hanson R.
        • et al.
        Recurrent CT, cumulative radiation exposure, and associated radiation-induced cancer risks from CT of adults.
        Radiology. 2009 Apr; 251: 175-184https://doi.org/10.1148/radiol.2511081296
        • Wrixon A.D.
        New ICRP recommendations.
        J Radiol Prot. 2008 Jun; 28: 161-168https://doi.org/10.1088/0952-4746/28/2/R02
        • Ristau B.T.
        • Dudley A.G.
        • Casella D.P.
        • Dwyer M.E.
        • Fox J.A.
        • Cannon G.M.
        • et al.
        Tracking of radiation exposure in pediatric stone patients: the time is now.
        J Pediatr Urol. 2015 Dec; 11: 339.e1-339.e5https://doi.org/10.1016/j.jpurol.2015.08.008