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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.
Annales D'Urologie
|January 1, 1992
Summary
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.