WOFAPS 2025 8th World Congress of Pediatric Surgery

Metin Gündüz, Fatma Özcan Sıkı, Mehmet Sarıkaya, Tamer Sekmenli, İlhan Çiftçi

Department of Pediatric Surgery, Selçuk University School of Medicine, Konya, Turkey

Introduction

We aimed to report effectivity of Electrokinetic Lithotripsy in a patient with ureterolithiasis due to hyperoksalury and liver transplant

Case presentation

A twelve years old female child presented with abdominal pain and hematuria Physical examination findings showed tenderness in left low quadrant of abdomen. The laboratory findings, including haematological, biochemical were within normal limits. Urinary ultrasonography demonstrated a stone in left ureter with diameter of 7-8 mm. Lithotripsy was performed under general anesthesia by both Holmium YAG Laser and Electrokinetic Lithotripter. Holmium YAG Laser failed peroperatively and lithotripsy was performed by Electrokinetic Lithotripter. Postoperative recovery was uneventfull.

Conclusion

URS is the first-line treatment of distal ureteral stones in the pediatric population. Althuogh effectivity and stone-free rates are similar in both Holmium: YAG laser lithotripter and Electrokinetic Lithotripter; it is an effective, safe, and cheap alternative for Holmium: YAG laser in ureterolithiasis.