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[Staghorn calculi in children. 32 cases]
M N Chaabouni1, K Kessentini, Y Letaief
1Service d'Urologie, CHU H.-Bourguiba, Sfax, Tunisie.
Insights
Staghorn calculi in children, often linked to Proteus urinary tract infections, require surgical intervention. Complete stone removal while preserving kidney function is crucial for successful treatment.
Area of Science:
- Pediatric Urology
- Nephrolithiasis Research
- Infectious Disease Etiology
Context:
- Reports on 32 pediatric cases of staghorn calculi treated at H. Bourguiba Hospital, Sfax.
- Staghorn calculi are prevalent in boys over 6 years old.
- Urinary tract infection (UTI) caused by Proteus species is a primary factor in stone formation.
Purpose:
- To analyze the characteristics and management of staghorn calculi in pediatric patients.
- To highlight the etiologic role of Proteus UTIs in lithogenesis.
- To evaluate the surgical treatment outcomes, focusing on complete stone removal and renal function preservation.
Summary:
- Thirty-two pediatric cases of staghorn calculi were treated, with a focus on boys over 6 years old.
- Proteus urinary tract infections were identified as the main cause of stone development.
- Surgical treatment, though challenging, aims for complete calculus removal and protection of renal function.
Impact:
- Provides insights into the management of staghorn calculi in a pediatric population.
- Emphasizes the importance of addressing UTIs in preventing and treating lithogenesis.
- Underscores the critical balance between surgical efficacy and renal preservation in pediatric urology.
Abstract:
The authors report thirty-two cases of children with staghorn calculi treated in the department of urology H. Bourguiba, Hospital of Sfax. Such calculi are frequently seen in young boys over the age of 6 years. Urinary tract infection by Proteus is the main etiologic factor of lithogenesis. Surgical treatment, still the most advocated, is laborious; it must ensure complete stone removal, while protecting renal function.