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Stone Management
Conclusions specialised instruments for paediatric PCNL as well as ureteroscopy,
The management of stones in children poses a specific technical in patients with anatomical abnormalities open surgery will continue
challenge to the urologist. Improvements in technology (i.e availability to be the preferred treatment. n
of smaller-calibre, rigid and actively deflectable endoscopes) and
growing experience, along with the refinement of ESWL and
Kemal Sarica is Chief of the Department of Urology at the Medical School of Yeditepe
improvements to PCNL and URS techniques, have resulted in greater
University. He has published more than 85 clinical and research papers in different
acceptance of minimally invasive techniques. In the management of international journals. He is a member of the Executive Committe of the European
paediatric urolithiasis, urologists currently benefit from the whole
Urolithiasis Society (EULIS) and the Urolithiasis Guidelines Committee of the European
Association of Urology (EAU). He was a member of the Ureteral Stones Guidelines
spectrum of stone management alternatives. With judicious
Committee, which published updated guidelines in 2007. Professor Sarica is a
application of these treatment modalities, excellent stone-free rates member of the Editorial Board of Urological Research, works as a reviewer for other
with minimal morbidity can be obtained. The aims of management
urological journals and is a member of various international urological societies. He
graduated from the University of Ankara Medical School in 1981 and completed his
should be complete clearance of stones, preservation of renal
residency at the urological department of the same faculty in 1992. He became an
function and prevention of stone recurrence. Finally, although the role Associate Professor of Urology in 1997 and a Professor of Urology in 2003.
of open surgery will diminish further with the availability of
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pathogenesis and medical treatment, Urol Res, 21. Egilmez T, Tekin MI, Gonen M, et al., Efficacy and safety of treatment of ureteral calculi in children, Urol Res,
2006:24:1–6. a new-generation shockwave lithotripsy machine in the 2006;34(6):381–7.
2. Sarica K, Medical aspect and minimal invasive treatment treatment of single renal or ureteral stones: Experience 41. Al Busaidy SS, Prem AR, Mehdat M, Pediatric ureteroscopy
of urinary stones in children, Arch Ital Urol Androl, 2008;80(2): with 2670 patients, J Endourol, 2007:21(1):23–7. for ureteric calculi: a 4-year experience, Br J Urol,
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6. Nicoletta JA, Lande MB, Medical evaluation and treatment changes after extracorporeal shock wave 44. Fraser M, Joyce AD, Thomas DF, et al., Minimally invasive
of urolithiasis, Pediatr Clin North Am, 2006;53(3):479–91. nephrolithotripsy: prediction by intrarenal resistive index, treatment of urinary tract calculi in children, BJU Int,
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Potassium Citrate Therapy on Stone Recurrence and 25. Frick J, Sarica K, Kohle R, et al., Long-term follow-up after 45. Badawy H, Salama A, Eissa M, et al., Percutaneous
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Children, J Endourol, 2006;20(11):875–79. Urol, 1991:19:225–9. percutaneous nephrolithotomy in 60 children, J Urol,
8. Schultz-Lampel D, Lampel A, The surgical management of 26. Sarica K, Küpeli S, Sarica N, et al., Long-term follow-up of 1999;162:1790–93.
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10. Erdenetsesteg G, Manohar T, Singh H, Desai MR, long-term results and effects on renal growth, J Endourol, 47. Al-Shammari AM, Al-Otaibi K, Leonard MP, Hosking DH,
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alternative for urinary tract stones in children. A large of ureteral calculi in children, J Endourol, 2007;21(4): 52. Manohar T, Ganpule AP, Shrivastav P, Desai M,
scae retrospective analysis, J Urol, 2003;170:2405–8. 397–400. Percutaneous nephrolithotomy for complex caliceal
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86 EUROPEAN UROLOGICAL REVIEW
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