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Particularities and Efficacy of Extracorporeal Shock Wave Lithotripsy in Children

Alexandru-Bogdan Brad1,2, Matteo Ferro3,4, Mihai-Dorin Vartolomei1,2

  • 1Clinic of Urology, Mureş County Clinical Hospital, Târgu Mureș, Romania.

Urologia Internationalis
|August 7, 2019
PubMed

Insights

Extracorporeal shock wave lithotripsy (ESWL) is effective for pediatric urolithiasis, with an 88.9% stone-free rate. This minimally invasive treatment offers favorable outcomes for children with urinary stones.

Area of Science:

  • Pediatric Urology
  • Nephrolithiasis Treatment
  • Minimally Invasive Surgery

Background:

  • Extracorporeal shock wave lithotripsy (ESWL) introduced for pediatric urolithiasis in 1986.
  • Children experience higher urinary stone recurrence rates than adults.
  • Minimally invasive treatments are preferred for pediatric stone management.

Purpose of the Study:

  • Evaluate the profile of pediatric patients suitable for ESWL.
  • Analyze the clinical experience of ESWL in two departments for pediatric urolithiasis.
  • Assess the efficacy and outcomes of ESWL in children.

Main Methods:

  • Retrospective review of medical records for 54 pediatric patients undergoing ESWL.
  • Definition of ESWL success as stone-free status or clinically insignificant residual fragments.
  • Statistical analysis of data using STATA 14.2.

Main Results:

  • Higher incidence of renal-ureteral calculi observed in girls (68.5%) compared to boys (31.5%).
  • Overall stone-free rate of 88.9% achieved.
  • Favorable outcomes in 83.3% of patients; complications correlated with age.

Conclusions:

  • ESWL is an effective treatment for pediatric urolithiasis.
  • Key advantages include minimal cost, invasiveness, repeatability, and no need for general anesthesia.
  • High success rates support ESWL as a primary treatment option for pediatric stones.
Abstract

Keywords:
ChildExtracorporeal shock wave lithotripsyKidneyStoneUreter

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