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Efficacy of extracorporeal shock wave lithotripsy for ureteric stones in children

Ahmet Yaser Muslumanoglu1, Ahmet Hamdi Tefekli, Fatih Altunrende

  • 1Department of Urology, Haseki Teaching and Research Hospital, 34096-Haseki, Istanbul, Turkey.

International Urology and Nephrology
|July 27, 2006
PubMed

Insights

Extracorporeal shock wave lithotripsy (ESWL) is effective for pediatric ureteral stones, achieving high success rates between 90-100%. This minimally invasive treatment offers a safe and efficient option for children requiring stone removal.

Area of Science:

  • Pediatric Urology
  • Nephrology
  • Endourology

Background:

  • Ureteral stones in children present unique management challenges.
  • Extracorporeal shock wave lithotripsy (ESWL) is a potential treatment modality for pediatric ureteral calculi.

Purpose of the Study:

  • To retrospectively analyze the efficacy and safety of ESWL for treating ureteral stones in pediatric patients.
  • To evaluate stone-free rates and complication profiles associated with ESWL in children.

Main Methods:

  • A retrospective analysis of 192 children (≤14 years) treated with ESWL for ureteral stones between 1990 and 2003.
  • Stones were located in the proximal, mid, or distal ureter.
  • Procedures were performed on an outpatient basis with varying levels of sedation or anesthesia.

Main Results:

  • High success rates were observed: 94% for proximal and mid-ureteral stones, and over 90% for distal stones based on size.
  • Mean patient age was 7.3 years, with 122 boys and 70 girls.
  • ESWL was performed with a maximum of 3500 shocks and 18 kV per session, with low complication rates.

Conclusions:

  • ESWL demonstrates highly satisfactory stone-free rates (90-100%) in the pediatric population.
  • The procedure is associated with negligible complications, supporting its use as a first-line treatment.
  • ESWL is a safe and effective option for managing ureteral stones in children.
Abstract

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