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Urolithiasis in children

Peter-Martin Braun1, Christoph Seif, Klaus-Peter Jünemann

  • 1Department of Urology, University of Kiel, Germany. pbraun@urology.uni-kiel.de

International Braz J Urol : Official Journal of the Brazilian Society of Urology
|March 8, 2005
PubMed

Insights

Extracorporeal shock wave lithotripsy (ESWL) is effective for treating pediatric urolithiasis, achieving high stone-free rates. Experienced centers offering ESWL and endourological procedures ensure optimal outcomes with minimal complications in children.

Area of Science:

  • Pediatric Urology
  • Nephrology
  • Surgical Technology

Background:

  • Urolithiasis in children shares treatment principles with adults.
  • Pediatric urinary stones require effective management strategies.

Purpose of the Study:

  • To evaluate the efficacy of extracorporeal shock wave lithotripsy (ESWL) in pediatric urolithiasis.
  • To determine optimal conditions for successful ESWL treatment in children.

Main Methods:

  • Review of treatment criteria for pediatric urolithiasis.
  • Analysis of stone-free rates following ESWL in pediatric patients.
  • Assessment of the need for auxiliary measures and specialized centers.

Main Results:

  • Extracorporeal shock wave lithotripsy (ESWL) is the preferred treatment for most pediatric urinary stones.
  • Short-term stone-free rates range from 67% to 93%, with long-term rates from 57% to 92%.
  • Auxiliary measures are sometimes necessary, and specialized centers improve outcomes.

Conclusions:

  • ESWL is a highly effective treatment for pediatric urolithiasis.
  • Performing ESWL in experienced pediatric centers with endourological expertise maximizes success and minimizes complications.

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