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Related Experiment Videos

Childhood urolithiasis: experiences and advances.

J P Gearhart1, G Z Herzberg, R D Jeffs

  • 1Department of Urology, James Buchanan Brady Urological Institute, Johns Hopkins Hospital and Children's Center, Baltimore, Maryland 21205.

Pediatrics
|April 1, 1991
PubMed
Summary

Pediatric urolithiasis (kidney stones) often stems from underlying conditions, presenting with pain and hematuria. Management varies, with many requiring intervention, and recurrence is notable in children.

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Area of Science:

  • Pediatric Nephrology
  • Urology
  • Pediatric Surgery

Background:

  • Urolithiasis in children is a significant clinical challenge.
  • Identifying underlying causes is crucial for effective management.
  • Common symptoms include flank/abdominal pain and gross hematuria.

Purpose of the Study:

  • To analyze the clinical characteristics, causes, and outcomes of pediatric urolithiasis.
  • To evaluate treatment modalities and recurrence rates in children with kidney stones.
  • To discuss recent advances in urolithiasis management for pediatric patients.

Main Methods:

  • Retrospective analysis of 54 pediatric patients with urolithiasis.
  • Evaluation of symptoms, stone etiology, stone composition, and treatment outcomes.

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  • Follow-up assessment for stone recurrence over a 10-year period.

    • Main Results:

    • Most stones (86%) were secondary to pre-existing conditions.
    • Common symptoms were flank/abdominal pain (58%) and gross hematuria (28%).
    • Urinary tract infections (UTIs) were present in 47% of patients; calcium oxalate and struvite stones were frequent in this group.
    • 39% passed stones spontaneously, while 43% required intervention (surgery or ESWL).
    • Recurrence was observed in 20% of patients.

    Conclusions:

    • Pediatric urolithiasis is frequently associated with underlying conditions and UTIs.
    • A significant proportion of children require medical or surgical intervention for stone removal.
    • Recurrence highlights the need for long-term monitoring and management strategies.