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Stones in pregnancy and pediatrics

Jennifer Bjazevic1, Hassan Razvi1

  • 1Division of Urology, Department of Surgery, Western University, London, Canada.

Asian Journal of Urology
|October 27, 2018
PubMed

Insights

Urinary stone disease is rising in women and children. This review details advances in diagnosing and managing kidney stones in pediatric and pregnant populations, emphasizing individualized care and minimizing risks.

Area of Science:

  • Urology
  • Nephrology
  • Public Health

Background:

  • Urinary stone disease affects 10% of the population, with increasing incidence over 20 years.
  • Rising rates of kidney stones are observed in women and children.
  • Management in pregnant and pediatric patients presents unique challenges.

Purpose of the Study:

  • To review the history and current advances in diagnosing and managing urinary stone disease.
  • To highlight the complexities and recommended approaches for specific populations.
  • To emphasize individualized treatment strategies and minimizing adverse effects.

Main Methods:

  • Literature review focusing on diagnosis and management of urinary stone disease.
  • Analysis of historical data and recent innovations in endourology.
  • Discussion of multi-disciplinary approaches and diagnostic imaging considerations.

Main Results:

  • Innovations in endourologic equipment and techniques have expanded surgical treatment options.
  • A high degree of suspicion and judicious imaging are crucial for prompt diagnosis.
  • Management strategies must be individualized, balancing conservative and invasive approaches.

Conclusions:

  • A multi-disciplinary approach is strongly recommended for pregnant and pediatric patients with urinary stones.
  • Understanding management complexities is paramount for urologists to maximize efficacy and minimize morbidity.
  • Advances in endourology offer improved treatment options for these challenging populations.

Keywords:
DiagnosisLithotripsyPediatricsPercutaneous nephrolithotomyPregnancyUreteroscopyUrolithiasis

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