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Related Experiment Videos

Pediatric stone disease: an evolving experience.

Kevan Sternberg1, Saul P Greenfield, Pierre Williot

  • 1Department of Pediatric Urology, Women and Children's Hospital of Buffalo and Department of Urology, State University of New York at Buffalo School of Medicine, Buffalo, New York 14222, USA.

The Journal of Urology
|September 9, 2005
PubMed
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Pediatric kidney stones are often calcium-based and occur without metabolic issues. Most patients pass stones or are treated successfully with extracorporeal shock wave lithotripsy.

Area of Science:

  • Urology
  • Pediatric Nephrology

Background:

  • Pediatric stone disease management has evolved with early diagnosis and technological advancements.
  • Understanding trends in pediatric urolithiasis is crucial for effective treatment.

Purpose of the Study:

  • To review a 12-year experience with pediatric stone disease.
  • To analyze the presentation, management, and outcomes of pediatric urolithiasis.

Main Methods:

  • Retrospective review of 123 pediatric patients (8 months to 25 years) with 158 stones (1991-2003).
  • Evaluation included 24-hour urine collection (41%) and serum chemistry (54%).
  • Analysis of stone presentation, symptoms, underlying conditions, and treatment modalities.

Main Results:

Related Experiment Videos

  • Calcium-based stones (88%) were most common, often without metabolic abnormalities.
  • Loin pain (76%) and history of urinary tract infections (11%) were frequent presentations.
  • 46% passed stones spontaneously; extracorporeal shock wave lithotripsy (ESWL) was successful in 71% of treated patients.

    • Conclusions:

    • Pediatric kidney stones are predominantly calcium-based and frequently occur without identifiable metabolic disturbances.
    • While many stones pass spontaneously, ESWL is highly effective for those requiring intervention.
    • Congenital abnormalities and neurogenic bladder were uncommon, suggesting improved early diagnosis and management.