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Correspondence to Author: R B Nerli^*, Vishal Kadeli, Nishant Setya,Saurabh Uplenchwar, Dhairya Chitaliya,Ashwin Bokare,Rakesh Shetty. 

Department of Urology, JN Medical College, KLE Academy of Higher Education and Research (Deemed-to-be-University), JNMC Campus, Nehru Nagar, Belagavi, Karnataka 590010, India.

DOI: 10.52338/aou.2025.4241

Abstract:

Introduction:Caliceal diverticula are outpouchings of the collecting system and can be complicated by the development of calculi within them. Several minimally invasive and noninvasive procedures have been described for the treatment of these diverticular stones. We report our experience with the management of these caliceal diverticular stones with PCNL in paediatric patients. .
Materials & Methods:We retrospectively reviewed the hospital data, for children who underwent PCNL for caliceal diverticular stones. A pre-operative CT (Computed tomography) Urogram was performed to assess the location of the diverticula, the size of the stone and the function of the kidney. Using direct stone-guided puncture with the bull’s eye technique, percutaneous access was achieved, and a 12 Fr mini PCNL nephroscope was used to extract the stones. The mouth of the diverticulum was cauterized.
Results: Six children (five females and one male) with a mean age of 12.4 years underwent PCNL for caliceal diverticularstones during the study period. Pain in the flanks was the presenting symptom in all patients. Complete clearance was achieved in all the children. Conclusions: PCNL offers the best minimally invasive option in the management of caliceal diverticular calculi. It is both effective and safe in the paediatric population
Keywords: Caliceal diverticula, Caliceal diverticular stones, percutaneous nephrolithotomy.

Citation:

Dr.R B Nerli, Percutaneous Management Of Renal Calyceal Diverticular Stones In Children. Annals of Urology 2025.