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Extracorporeal shock wave lithotripsy in children
Nelson Rodrigues Netto1, José Antonio Longo, Jean A Ikonomidis
1Department of Urology, Hospital Israelita Albert Einstein, São Paulo, Brazil.
The Journal of Urology
|April 17, 2002
Summary
Extracorporeal shock wave lithotripsy (ESWL) effectively treats pediatric urinary stones. This noninvasive method achieved high stone-free rates in children, demonstrating its efficacy for various stone types.
Area of Science:
- Pediatric Urology
- Nephrolithiasis Treatment
- Minimally Invasive Surgery
Background:
- This study evaluated the efficacy of extracorporeal shock wave lithotripsy (ESWL) in pediatric patients with urinary calculi.
- The Siemens Lithostar Plus device was used for treatment between 1987 and 2000.
Discussion:
- ESWL demonstrated a high success rate for complete stone fragment removal in children.
- The procedure was performed on an outpatient basis with varying levels of sedation or anesthesia.
- Complications were minimal and managed effectively with medical treatment.
Key Insights:
- Complete stone removal was achieved in 97.6% of pediatric cases after 3 months.
- Re-treatment was required in 27.9% of patients.
- ESWL proved effective for both radiopaque and radiolucent urinary calculi in children.
Outlook:
- ESWL is a viable, noninvasive option for pediatric urinary stone management.
- Further research could explore long-term outcomes and optimal anesthetic protocols.
- The Lithostar Plus system offers a safe and effective treatment modality for pediatric nephrolithiasis.
