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Extracorporeal shock-wave lithotripsy in children
1Division of Urology, Hospital Israelita Albert Einstein, São Paulo, Brazil.
Urology
|October 1, 1995
Summary
Extracorporeal shock-wave lithotripsy is effective for treating pediatric urinary stones. This noninvasive procedure achieved high stone-free rates with minimal complications in children.
Area of Science:
- Pediatric Urology
- Nephrolithiasis Treatment
- Minimally Invasive Surgery
Background:
- Urinary calculi in children present unique management challenges.
- Extracorporeal shock-wave lithotripsy (ESWL) offers a noninvasive treatment option.
Purpose of the Study:
- To evaluate the efficacy and complication rates of ESWL in pediatric patients.
- To assess the effectiveness of Siemens Lithostar and Lithostar Plus devices for urinary stone treatment in children.
Main Methods:
- Retrospective analysis of 70 children (3-14 years) treated with ESWL between 1987-1994.
- 100 urinary calculi (caliceal, pelvic, ureteral, staghorn) were treated in 129 sessions.
- Follow-up included nephrotomogram or ultrasound at 1 day and 1-3 months post-procedure.
Main Results:
- Complete stone fragment removal was achieved in 98.5% of patients within 3 months.
- Re-treatment was required in 29.4% of cases.
- Complications (colic) occurred in 10% of patients, managed medically with uneventful convalescence.
Conclusions:
- ESWL using Lithostar and Lithostar Plus is an effective noninvasive treatment for pediatric urinary calculi.
- The procedure is suitable for both radiopaque and radiolucent stones in children.
- ESWL demonstrated a high success rate and acceptable complication profile in this pediatric cohort.