Presented by: NEBIL AKDOGAN MD
CUKUROVA UNIVERSITY UROLOGY DEPARTMENT

Introduction

Although urinary system stone disease is perceived as an adult disease, it is a disease that is seen in all children, including infancy, and its incidence is increasing. In this study, we aimed to evaluate the treatment approaches of urologists for pediatric urinary system stone disease.

Materials

We divided pediatric stone patients into 3 age groups as 0-2, 2-6 and 6-18. In order to compare these groups, we prepared a 42-question survey based on the EAU 2022 Guidelines and sent this survey to urologists working in the country via the social network.

Results

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Our survey was evaluated by 96 urologısts.

While SWL was applied at a rate of 35.42% in patients aged 0-2 years, a statistically significant difference was found in the comparison made according to title in this group (p:0.013).

While microPNL was applied at a rate of 19.79% in this age group, a statistically significant difference was found in the comparison made by title (p:0.030).

Again, the rate of those who did not perform surgery in this age group was 31.25%, while a statistically significant difference was found in the comparison made according to title (p:0.038).

While SWL was applied with a rate of 36.46% in 2-6 year old patients, a statistically significant difference was found in the comparison made according to title in this group (p:0.004).

While SWL was applied with a rate of 58.33% in patients aged 6-18 years, a statistically significant difference was found in the comparison made according to title in this group (p:0.011). While miniPNL was applied with a rate of 65.63% in the same group, a statistically significant difference was found in the comparison made according to title (p:0.002).

While there was a statistically significant difference in the application of the RIRS method in the 0-2 age group (p:0.029) and 2-6 age group (p:0.049) according to the institution, a high level of significant difference was observed in the application to the 6-18 age group (p:0.01). .

A statistically high significant difference was observed in the comparison made by title among those who underwent surgical treatment in this 3-year-old group for Staghorn kidney stones (p:0.007).

Conclusion

It was observed that there were statistically significant differences in the treatment management of pediatric urinary system stone patients with different localization and size according to age groups, according to the institution and title.

However, it is necessary to carry out comprehensive studies with more domestic and international participation in this regard.

Funding

no funding

Lead Authors

MUTLU DEGER, md
cukurova unıversıty urology department

MERT HAMARAT, MD
CUKUROVA UNIVERSITY UROLOGY DEPARTMENT

VOLKAM IZOL, MD.PHD
CUKUROVA UNIVERSITY UROLOGY DEPARTMENT

NIHAT SATAR, MD PHD
CUKUROVA UNIVERSITY UROLOGY DEPARTMENT

IBRAHIM ATILLA ARIDOGAN, MD
CUKUROVA UNIVERSITY UROLOGY DEPARTMENT