Journal of pediatric urology
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Comparative Study
A comparison of outcomes after percutaneous nephrolithotomy in children and adults: a matched cohort study.
Percutaneous nephrolithotomy (PCNL) has surpassed open stone surgery as the operation of choice for large and complex stone burdens (figure). Although the procedure was developed in adults, its principles have been extrapolated to children. There is a paucity of literature comparing outcomes of PCNL in adults and children for similar stone burdens. ⋯ Although principles of PCNL were developed in adults, this study affirms the safety and efficacy of PCNL in both pediatric and adult patients.
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Comparative Study
Adenotonsillectomy improves quality of life in children with sleep-disordered breathing regardless of nocturnal enuresis outcome.
Nocturnal enuresis (NE) and sleep-disordered breathing (SDB) have both been associated with impaired health-related quality of life (HRQoL). The following were investigated: (1) whether tonsillectomy and/or adenoidectomy (T&A) significantly affect the HRQoL in children with NE and SDB, and 2) differences in HRQoL between children with NE persistence versus resolution post-T&A. ⋯ T&A significantly improved HRQoL in all children with SDB and NE, regardless of NE outcomes. These findings support recommendations for T&A in children with SDB with or without NE.