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[Results of ESWL treatment in children with urolithiasis: own experience]

S Olszewski1, A Jung, A Kamińska

  • 1Kliniki Pediatrii i Nefrologii Dzieciecej CSK WAM w Warszawie.

Polski Merkuriusz Lekarski : Organ Polskiego Towarzystwa Lekarskiego
|July 18, 2000
PubMed

Insights

Extracorporeal shock wave lithotripsy (ESWL) is a common treatment for pediatric urolithiasis. This study found ESWL to be 88% effective overall in children, with higher success rates for single kidney stones.

Area of Science:

  • Pediatric Urology
  • Nephrolithiasis Treatment
  • Minimally Invasive Surgery

Background:

  • Urolithiasis is a common condition in children.
  • Extracorporeal shock wave lithotripsy (ESWL) is frequently employed for pediatric stone treatment.
  • Assessing ESWL efficacy in pediatric patients is crucial for treatment planning.

Purpose of the Study:

  • To evaluate the effectiveness of extracorporeal shock wave lithotripsy (ESWL) in treating pediatric urolithiasis.
  • To analyze ESWL outcomes based on stone location and multiplicity in children.
  • To determine the average number of ESWL procedures required for successful stone clearance.

Main Methods:

  • Retrospective analysis of 203 pediatric patients treated between 1991 and 1999.
  • Inclusion of 260 reno-ureteral units treated with ESWL.
  • Documentation of 518 total ESWL procedures performed.

Main Results:

  • Overall ESWL efficacy was 88.08% in the pediatric cohort.
  • Success rates varied by stone type: 97.80% for single kidney stones, 78.65% for multiple kidney stones, and 71.88% for ureteral stones.
  • An average of 1.99 ESWL procedures were needed per patient for complete stone elimination, with an average stone diameter of 13.3 mm.

Conclusions:

  • ESWL demonstrates significant efficacy in treating pediatric urolithiasis.
  • Treatment outcomes are influenced by stone burden and location.
  • ESWL offers a viable, minimally invasive option for pediatric kidney stone management.

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