The efficacy and safety of extracorporeal shock wave lithotripsy in children

Technological advances in the design of shock wave lithotriptors have precipitated important changes in the management of urolithiasis in children. New generation lithotriptors have reduced the need for anesthesia, lowered hospitalization duration, and resulted in better fluoroscopic targeting reducing radiation exposure. Currently, shock wave lithotripsy (SWL) has become standard first line treatment for most renal and ureteral calculi in children. Herein, the literature and assess success rates, re-treatment rates, preoperative stenting, anesthesia requirements, side effects, and complications of SWL were reviewed. As a result, we aimed to demonstrate that SWL is safe for the treatment of pediatric urolithiasis.