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Extracorporeal shock wave lithotripsy is effective in treating single melamine induced urolithiasis in infants and

Jianye Jia1, Xiaowei Shen, Liya Wang

  • 1Department of Pediatric Urology, Xinhua Hospital, Shanghai Jiao tong University School of Medicine and Children's Urolithiasis Treatment Center of Chinese Ministry of Health, Shanghai, China.

The Journal of Urology
|December 4, 2012
PubMed

Insights

Extracorporeal shock wave lithotripsy (ESWL) effectively treated melamine-induced urolithiasis in young children. This low-energy treatment showed a high stone-free rate with minimal complications, making it a preferred method.

Area of Science:

  • Pediatric Urology
  • Nephrolithiasis Treatment
  • Shock Wave Lithotripsy

Background:

  • Melamine-induced urolithiasis is a significant concern in infants and young children.
  • Effective and safe treatment options for pediatric kidney stones are crucial.

Purpose of the Study:

  • To evaluate the safety and efficacy of extracorporeal shock wave lithotripsy (ESWL) for single melamine-induced urolithiasis in infants and young children.

Main Methods:

  • 189 infants and young children with single melamine-induced urolithiasis were treated with ESWL.
  • Calculi locations included proximal ureteral, mid ureteral, distal ureteral, and kidney.
  • Stone sizes ranged from 3.8 to 25 mm.

Main Results:

  • A stone-free rate of 97.88% was achieved with ESWL.
  • The clinically insignificant residual fragment rate was 1.59%, and the repeat treatment rate was 2.65%.
  • No severe complications were observed during the mean 28-month follow-up.

Conclusions:

  • Low-energy ESWL is effective in disintegrating melamine-induced calculi in pediatric patients.
  • ESWL is a safe and preferred treatment for single melamine-induced urolithiasis in this age group.
Abstract

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