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Initial experience with extracorporeal shock wave lithotripsy in children
M Sigman1, V P Laudone, A D Jenkins
1Department of Urology, University of Virginia School of Medicine, Charlottesville.
The Journal of Urology
|October 1, 1987
Summary
Extracorporeal shock wave lithotripsy effectively treated kidney stones in 38 pediatric patients. This minimally invasive procedure showed a 97% success rate for complete stone fragmentation with a low 5% complication rate.
Area of Science:
- Pediatric Urology
- Nephrolithiasis Treatment
- Minimally Invasive Surgery
Background:
- Renal calculi (kidney stones) pose a challenge in pediatric patients.
- Traditional surgical methods for pediatric kidney stones can be invasive.
- Extracorporeal shock wave lithotripsy (ESWL) offers a non-invasive alternative.
Purpose of the Study:
- To evaluate the safety and efficacy of extracorporeal shock wave lithotripsy (ESWL) for treating renal calculi in children.
- To present clinical experience from multiple US centers regarding pediatric ESWL.
- To detail patient characteristics, treatment specifics, and outcomes for pediatric kidney stone patients treated with ESWL.
Main Methods:
- Retrospective analysis of clinical data from 4 US centers.
- Inclusion of 38 pediatric patients aged 12 months to 16 years with renal calculi.
- Detailed recording of patient demographics, ESWL treatment parameters, and follow-up data.
Main Results:
- Complete fragmentation of renal calculi was achieved in 97% of treated pediatric patients.
- A low complication rate of 5% was observed in the pediatric cohort.
- Successful treatment outcomes were documented across diverse patient characteristics.
Conclusions:
- Extracorporeal shock wave lithotripsy (ESWL) is a safe and effective treatment modality for renal calculi in the pediatric population.
- Proper safeguards ensure successful outcomes in pediatric ESWL procedures.
- ESWL provides a viable, minimally invasive option for pediatric kidney stone management.