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[Extracorporeal shockwave lithotripsy in the treatment of pediatric urolithiasis]
G Zöller1, M Ludewig, M Kallerhoff
1Urologische Klinik, Georg-August-Universität, Göttingen.
Insights
Extracorporeal shock wave lithotripsy effectively treated pediatric kidney, ureteral, and bladder stones. A 60% stone-free rate was achieved after one treatment with no major complications.
Area of Science:
- Pediatric Urology
- Nephrolithiasis Treatment
- Minimally Invasive Surgery
Background:
- Kidney stones in children are less common than in adults but pose unique challenges.
- Effective and safe treatment options are crucial for pediatric stone disease.
Purpose of the Study:
- To evaluate the efficacy and safety of the LITHOSTAR plus lithotripter for treating urinary tract stones in children.
- To determine the stone-free rate and complication profile in pediatric patients undergoing extracorporeal shock wave lithotripsy.
Main Methods:
- The study included 10 pediatric patients (15 months to 17 years) with kidney, ureteral, or bladder stones.
- Extracorporeal shock wave lithotripsy (ESWL) was performed using the LITHOSTAR plus system.
- Stone localization was achieved via ultrasound or X-ray; general anesthesia was used when necessary.
Main Results:
- A total of 13 stones were treated across 10 children.
- A 60% stone-free rate was observed after a single ESWL treatment.
- No major complications were reported; adjuvant procedures were rarely needed.
Conclusions:
- The second-generation LITHOSTAR plus lithotripter is a safe and effective option for pediatric urolithiasis.
- ESWL can achieve a significant stone-free rate in children with minimal need for additional interventions.
Abstract:
The 2nd generation lithotripter LITHOSTAR plus was used for extracorporeal shock wave lithotripsy of 9 kidney stones, 2 ureteral calculi and 2 bladder stones in 10 children 15 months to 17 years old. Ultrasonic stone localization was used in 2 children, x-ray guided stone localization in 8 children. General anesthesia was necessary in 6 children. A stone free rate of 60% was achieved after 1 treatment. Except for one 14-year old boy no adjuvant procedures like percutaneous nephrostomy or ureteral stents were applied. No major complications were encountered.