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Published on: September 11, 2018
The prevalence of urinary lithiasis in children in Van Region, Turkey
Cihangir Akgün1, Mustafa Kayan, Oğuz Tuncer
1Department of Pediatrics, Yüzüncü Yil University, School of Medicine, Van, Turkey. cihangirakgun@gmail.com
Insights
The prevalence of urinary lithiasis in school-aged children in Van, Turkey, was found to be 1.7%. Metabolic disorders were the most common cause of this condition in the upper urinary tract.
Area of Science:
- Pediatric Nephrology
- Urology
- Medical Imaging
Background:
- Urinary lithiasis, or kidney stones, can affect children.
- Understanding the prevalence and causes of pediatric urinary lithiasis is crucial for early diagnosis and management.
Purpose of the Study:
- To determine the prevalence and etiology of urinary lithiasis in school-aged children in Van, Turkey.
- To investigate the common causes of urinary stones in this pediatric population.
Main Methods:
- A cross-sectional study involving 1120 children aged 7-14 years.
- Urinary ultrasonography was performed using a 3.75 MHz convex probe on a Hitachi EUB-315 machine.
- Etiological investigations included metabolic disorder screening and assessment for congenital renal anomalies.
Main Results:
- Urinary lithiasis was detected in 1.7% (19 out of 1120) of the children studied.
- All identified urinary stones were located in the upper urinary tract (kidneys).
- Metabolic disorders were identified as the cause in 14 children, with one case of congenital renal anomaly.
Conclusions:
- The prevalence of urinary lithiasis in school-aged children in the Van region is 1.7%.
- Metabolic disorders represent the primary identified etiology for pediatric urinary lithiasis in this population.
- All urinary lithiasis cases were found in the upper urinary system, highlighting the importance of renal imaging.
Abstract:
We aimed to determine the prevalence and etiology of urinary lithiasis in childhood in our region, Van, Turkey. A total of 1120 children were included in the study. Urinary ultrasonography was performed in all the children between April 2003 and June 2003. During the study, the kidneys were examined longitudinally and transversally using a 3.75 MHz convex probe in a Hitachi EUB -315 ultrasonography machine. The children's ages ranged from 7 years to 14 years (10.16 +/- 1.92 years) and 572 (51.1%) were males and 548 (48.9%) females. Urinary ultrasonography showed that 19 (1.7%) children had urinary lithiasis, which was in the right kidney in 15 children and in the left kidney in four children. Urinary lithiasis was in the upper urinary tract in all children. The etiological studies showed metabolic disorder in 14 children, and congenital renal anomaly in one child, but no underlying cause was diagnosed in four children. In conclusion, we found that was the prevalence of urinary lithiasis was 1.7% in school-aged children in our region. It was also noted that all urinary lithiasis was in the upper urinary system and its most common cause was metabolic disorder.
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