Contemporary management of urinary tract stone disease in children within a high volume institution in Mexico.

OBJETIVO La urolitiasis en pacientes pediatricos es una condicion de baja frecuencia, con tendencia hacia el aumento, por lo que es importante actualizar a urologos sobre las opciones terapeuticas actuales. Describir las caracteristicas clinicas, las tecnicas quirurgicas y sus resultados usadas para el tratamiento de la urolitiasis en pacientes pediatricos. MATERIALES Y METODOS El estudio incluyo todos los pacientes menores de 18 anos quienes fueron tratados quirurgicamente por litiasis urinaria desde el ano 2017 al 2020, quienes poseian expedientes clinicos completos y seguimiento en el Hospital General de Mexico. RESULTADOS Veinte y un pacientes menores de 18 anos fueron sometidos a procedimientos quirurgicos para resolver la litiasis urinaria desde el 2017 al 2020. Los pacientes de sexo masculino fueron mas afectados que pacientes del sexo femenino con una relacion 3:1. El grupo de edad promedio de presentacion fue mayor entre los 1-5 anos de edad, la mayoria de pacientes poseian un adecuado indice de masa corporal ajustado por edad. El tracto urinario superior fue el mas afectado, solo 9% se localizo en el tracto urinario inferior, la mayoria de casos se resolvieron con tecnicas minimamente invasivas con una tasa de complicaciones de 14%, llegando al estado libre de litiasis en 90.47% de los casos. CONCLUSIONES La litiasis urinaria es mas comun en el sexo masculino, generalmente en el grupo de edad pre-escolar. El indice de masa corporal en la mayoria de los casos se encontraba en rangos adecuados para la edad y el abordaje minimamente invasivo fue utilizado con mayor frecuencia con 14% de complicaciones y un exito de 90.47%. BACKGROUND Pediatric urolithiasis is a rare condition around the world. Its presence and incidence are augmenting in developing countries, remarking the importance for urologists to keep updated to latest trends about its management. OBJECTIVE The aim of this study was to describe the clinical features and therapeutic surgical options and results for urinary tract stone disease in pediatric patients. MATERIALS AND METHODS This study included all pediatric patients who undergo surgical procedures to manage pediatric urolithiasis between 2017 and 2020 who had complete medical records and adequate follow-up in the General Hospital of Mexico “Dr. Eduardo Liceaga.”. RESULTS Twenty-one pediatric patients undergo surgical treatment for urinary lithiasis between 2017 and 2020. Males were more affected than female with a relation of 3:1. The mean age at the procedure time was between 1 and 5 years old. The majority of the patients had and adequate body mass index (BMI) according to percentile by age. The upper urinary tract was mostly affected by lithiasis, only 9% of cases were located in the lower urinary tract. The majority of cases were treated with minimal invasive techniques with 14% of complications, and success rate of 90.47%. CONCLUSIONS Urinary lithiasis is more common in male, usually locates at the upper urinary tract, frequently in the group of 1-5 years old, most cases had an adequate BMI, and the most frequently used techniques are minimal invasive, with a lower rate of complications and great success.