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[Urolithiasis in childhood with special reference to infants and newborns (author's transl)]
Insights
This study analyzed 110 pediatric urinary stone cases, finding genetic factors and higher recurrence rates in infants and toddlers. Recurrence prevention involves surgical correction and increased fluid intake.
Area of Science:
- Pediatric Urology
- Nephrology
- Surgical Pathology
Context:
- Retrospective analysis of 110 pediatric urinary stone cases treated between 1965-1976.
- Focus on surgical management and long-term follow-up (≥2 years) for 78 patients.
- Investigation of specific age-related patterns in pediatric urolithiasis.
Purpose:
- To report on the characteristics and outcomes of pediatric urinary stone disease.
- To identify unique features of urolithiasis in infants and toddlers.
- To evaluate recurrence rates and postulate contributing factors.
Summary:
- The study identified 110 pediatric urinary stone cases, with a significant portion undergoing long-term follow-up.
- Infants and toddlers exhibited distinct patterns regarding genetic predisposition and stone recurrence compared to older children.
- A 'stony peak' phenomenon is suggested for childhood urolithiasis, highlighting a potential age-related incidence.
- Recurrence prevention strategies emphasize surgical correction of urinary tract obstructions and promoting adequate fluid consumption.
Impact:
- Highlights the importance of considering age-specific factors in diagnosing and managing pediatric urinary stones.
- Provides insights into the long-term management and recurrence patterns of pediatric urolithiasis.
- Informs prophylactic strategies, emphasizing fluid intake and surgical intervention for urinary-flow hindrances.
Abstract:
The study reports 110 cases of urinary stones in children treated in the Paediatric Surgery Department of the City Hospital, München-Schwabing, from 1965-1976. 78 of the children had a follow-up examination at least two years after the surgical removal of the stone. The infant and toddler age-group demonstrated special features in possible genetic predisposition, and in the recurrence-rate, as opposed to the series as a whole. A "stony peak" is postulated also for urolithiasis in childhoiod. Prophylactic measures against recurrence consist mainly, in addition to careful surgical correction of urinary-flow hindrances, of plentiful fluid intake.