Use of Ultrasound in Pediatric Renal Stone Diagnosis and Surgery

Jeffrey C Morrison1, Trudy Kawal1, Jason P Van Batavia1

  • 1Division of Urology, The Children's Hospital of Philadelphia, 3rd Floor, Wood Building, 34th and Civic Center Blvd, Philadelphia, PA, 19104, USA.

Current Urology Reports
|February 25, 2017
PubMed

Insights

Pediatric urolithiasis is increasing globally. Ultrasound, a non-ionizing imaging method, is emphasized for diagnosing and managing kidney stones in children, reducing radiation exposure during procedures like lithotripsy and ureteroscopy.

Area of Science:

  • Pediatric Urology
  • Medical Imaging
  • Nephrology

Background:

  • Global incidence of pediatric urolithiasis is rising significantly (6-10% annually).
  • High recurrence rates and long life expectancy in children necessitate minimizing radiation exposure.
  • Growing concern over ionizing radiation use in pediatric kidney stone diagnosis and management.

Purpose of the Study:

  • To review the application of ultrasound in pediatric urolithiasis diagnosis and treatment.
  • To evaluate ultrasound's role in guiding interventions such as shockwave lithotripsy, percutaneous nephrolithotomy, and ureteroscopy.

Main Methods:

  • Literature review focusing on ultrasound's utility in pediatric urolithiasis.
  • Examination of ultrasound's role in specific urological procedures.
  • Analysis of non-ionizing imaging alternatives to traditional methods.

Main Results:

  • Ultrasound is a key non-ionizing modality for diagnosing pediatric kidney stones.
  • Its role is expanding in guiding surgical interventions, offering real-time visualization.
  • Evidence supports ultrasound's effectiveness in managing pediatric urolithiasis.

Conclusions:

  • Ultrasound is crucial for the diagnosis and management of pediatric urolithiasis.
  • It serves as a vital non-ionizing imaging tool, reducing radiation risks.
  • Continued research and integration of ultrasound in pediatric urology are recommended.

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