Related Experiment Videos
[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.
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.
Abstract:
Actually extracorporeal shock wave lithotripsy (ESWL) is the most frequent method in the treatment of urolithiasis in children. The aim of the study was to estimate the results of ESWL in children with urolithiasis. Between 1991 and 1999 y, in our Department 260 "reno-ureteral units" in 203 children were treated by lithotripsy. Totally of 518 ESWL procedures were performed. In general efficacy of ESWL was 88.08%, in children with single stone in kidney--97.80%., with multiple stones in kidneys--78.65%, in ureterolithiasis--71.88%. For complete recovery in patients mean 1.99 ESWL procedures were performed on 1 "reno-ureteral unit" on the average diameter of the stone/stones 13.3 mm.