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Related Experiment Videos

Urolithiasis in childhood.

B H Ozokutan1, M Küçükaydin, Z Gündüz

  • 1Department of Pediatric Surgery, Erciyes University, Faculty of Medicine, 38039 Kayseri, Turkey.

Pediatric Surgery International
|February 9, 2000
PubMed
Summary

Pediatric urolithiasis (urinary tract stones) is common in Turkey, with boys affected more than girls. Hypercalciuria is a frequent cause, and open surgery remains the primary treatment for pediatric urinary tract stones.

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Area of Science:

  • Pediatric Urology
  • Nephrology
  • Urolithiasis Research

Background:

  • Urolithiasis is a significant pediatric urologic issue, particularly in Turkey.
  • Improving living standards may correlate with a declining incidence.
  • Anatomic anomalies and metabolic disorders are key etiological factors.

Purpose of the Study:

  • To review the characteristics of pediatric urinary tract calculi.
  • To analyze patient demographics, clinical presentation, etiology, and treatment outcomes.
  • To understand the prevalence and types of stones in children.

Main Methods:

  • Retrospective review of 85 pediatric patients with urinary tract calculi over 12 years.
  • Data collected included age, sex, symptoms, etiology, stone location, treatment, and stone analysis.

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  • Analysis of patient records for demographic and clinical information.

    • Main Results:

    • The study included 85 children (68 boys, 17 girls), aged 10 months to 16 years.
    • Flank pain was the most common symptom; 70 had upper tract, 31 lower tract calculi.
    • Hypercalciuria was the most common metabolic disorder; Calcium oxalate/phosphate stones were most frequent.

    Conclusions:

    • Urolithiasis remains prevalent in Turkish children, though incidence may decrease with improved living standards.
    • Metabolic disorders and anatomic anomalies are crucial in pediatric stone disease etiology.
    • Open surgery was the predominant treatment, with limited success for endoscopic and spontaneous stone passage.