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[Extracorporeal shockwave lithotripsy in children]
Archivos Espanoles De Urologia
|January 1, 1989
Summary
Extracorporeal shock wave lithotripsy (ESWL) is effective for pediatric upper tract stones, with success rates around 60%. Long-term impacts on kidney growth and blood pressure remain unevaluated.
Area of Science:
- Pediatric Urology
- Nephrology
- Medical Technology
Context:
- Upper urinary tract lithiasis is uncommon in children.
- Lithiasis distribution in children: 56% idiopathic, 20% metabolic, 25% uropathy-associated.
- Extracorporeal shock wave lithotripsy (ESWL) adapted for pediatric use.
Purpose:
- To evaluate the efficacy and outcomes of ESWL for pediatric upper urinary tract calculi.
- To compare pediatric ESWL results with adult data.
- To identify areas for future research regarding long-term effects.
Summary:
- ESWL demonstrates variable 3-month success rates (47%-83%), averaging 60% stone-free kidneys.
- Indications and immediate results are comparable to adult ESWL.
- The Dornier HM-3 lithotripter, with modifications, is utilized in pediatric patients.
Impact:
- ESWL offers a viable treatment option for pediatric kidney stones.
- Further research is needed to assess long-term renal growth and arterial pressure effects.
- Establishes a benchmark for pediatric stone treatment efficacy.