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Paediatric stone management: innovations and standards
Fahad Quhal1,2, Abdulmohsin Al Faddagh2, M Selcuk Silay3
1Department of Urology, Medical University of Vienna, Vienna, Austria.
Current Opinion in Urology
|June 8, 2022
Summary
Surgical management for pediatric urolithiasis has advanced, with options like medical expulsive therapy (MET) and various endoscopic procedures. Further research is needed to compare the effectiveness and safety of these treatments.
Area of Science:
- Pediatric Urology
- Nephrology
- Surgical Innovation
Background:
- Paediatric urolithiasis management has seen significant evolution.
- Evidence supporting recent advancements in pediatric stone disease treatment is still developing.
Purpose of the Study:
- To review current trends and recent developments in the surgical management of paediatric urolithiasis.
- To highlight the evolving landscape of pediatric stone disease treatment.
Main Methods:
- Review of current trends and recent developments in paediatric urolithiasis surgery.
- Discussion of established and emerging treatment modalities.
Main Results:
- Medical expulsive therapy (MET) is an option for ureteral stones.
- Extracorporeal shockwave lithotripsy (SWL) is a primary treatment for kidney and upper ureteral stones.
- Endourological techniques, including retrograde intrarenal surgery (RIRS) and percutaneous nephrolithotomy (PCNL) variations, are increasingly utilized.
Conclusions:
- Paediatric stone disease management has advanced considerably.
- There is a need for well-designed multicenter studies to compare the effectiveness and safety of different surgical procedures.
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