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Extracorporeal shock wave lithotripsy in children
The Journal of Urology
|May 1, 1987
Summary
Extracorporeal shock wave lithotripsy (ESWL) effectively treats pediatric upper urinary tract stones. This study found ESWL to be safe and successful in children, with a high stone-free rate and minimal complications.
Area of Science:
- Pediatric Urology
- Nephrolithiasis Treatment
- Minimally Invasive Surgery
Background:
- Upper urinary tract calculi are common in children.
- Traditional stone removal methods can be invasive.
- Extracorporeal shock wave lithotripsy (ESWL) offers a non-invasive alternative.
Purpose of the Study:
- To evaluate the safety and efficacy of ESWL in pediatric patients.
- To assess outcomes and complications of ESWL in children under 17.
- To determine the stone-free rate after ESWL treatment.
Main Methods:
- Retrospective analysis of 14 pediatric patients (≤17 years) treated with Dornier lithotriptor.
- Specialized gantry, water level, and lung shielding adjustments for smaller children.
- Assessment of intraoperative complications, hospital stay, pain management, and stone clearance.
Main Results:
- No major intraoperative complications were observed.
- One patient developed postoperative pulmonary edema; 3 required parenteral analgesics.
- 10 out of 12 patients (83%) were stone-free at 3-month follow-up.
- One patient needed ureterolithotomy for impacted fragments.
Conclusions:
- Extracorporeal shock wave lithotripsy is a safe and effective treatment for pediatric renal calculi.
- ESWL demonstrates a high success rate in children, with manageable complications.
- Pediatric ESWL requires specific technical adjustments for optimal outcomes in smaller patients.