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[Extracorporeal shock-wave lithotripsy for children].
A Wakabayashi1, H Matsuda, T Uemura
1Department of Urology, Kinki University School of Medicine.
Hinyokika Kiyo. Acta Urologica Japonica
|June 1, 1988
Summary
Extracorporeal shock wave lithotripsy (ESWL) successfully treated ureteral calculi in pediatric patients, including the youngest reported in Japan. A novel technique protected the lung, removing height limitations for pediatric ESWL.
Area of Science:
- Pediatric Urology
- Nephrolithiasis Management
- Minimally Invasive Surgery
Context:
- Extracorporeal shock wave lithotripsy (ESWL) is a common treatment for kidney stones.
- Pediatric patients present unique challenges for ESWL due to smaller body size and anatomical differences.
- Previous ESWL treatments in Japan had a minimum height requirement.
Purpose:
- To report the successful application of ESWL in two pediatric patients with ureteral calculi.
- To introduce a modified technique for ESWL in a young child to mitigate risks and overcome height limitations.
- To discuss the adaptations and considerations for pediatric ESWL.
Summary:
- Extracorporeal shock wave lithotripsy (ESWL) was performed on a 5-year-old and an 8-year-old for ureteral calculi.
- Both patients passed all stone fragments spontaneously after treatment.
- A 5-year-old girl, the youngest reported in Japan for ESWL, was treated with a styrofoam layer to protect her lungs, effectively removing the height restriction.
Impact:
- Demonstrates the efficacy and safety of ESWL in pediatric patients, even at a young age.
- Highlights a practical modification to ESWL technique that broadens its applicability in children.
- Suggests that ESWL can be a viable and accessible treatment option for pediatric ureteral calculi, regardless of height.