Experience with extracorporeal shock wave lithotripsy in children

Area of Science:

• Pediatric Urology
• Nephrolithiasis Treatment
• Minimally Invasive Surgery

Background:

• Kidney and ureteral stones (calculi) are a concern in pediatric patients.
• Traditional stone removal methods can be invasive.
• Non-invasive options are sought for pediatric stone management.

Purpose of the Study:

• To evaluate the efficacy and safety of extracorporeal shock wave lithotripsy (ESWL) for pediatric renal and ureteral calculi.
• To determine the stone clearance rate following ESWL in children.
• To assess for any adverse events associated with ESWL in this age group.

Main Methods:

• Extracorporeal shock wave lithotripsy (ESWL) was performed on 14 pediatric patients (aged 2-14 years).
• Patients presented with renal and/or ureteral calculi.
• Outcomes were assessed for complete stone clearance and complications.

Main Results:

• Complete stone clearance was achieved in 12 out of 14 children (85% success rate).
• This included one child with a complex staghorn calculus.
• No significant side effects or complications were reported during the study period.

Conclusions:

• Extracorporeal shock wave lithotripsy (ESWL) is a safe and effective treatment for renal and ureteral calculi in children.
• ESWL offers a high success rate for stone clearance, even in cases of staghorn calculi.
• The procedure demonstrates a favorable safety profile for pediatric patients requiring stone treatment.