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[The complications of extracorporeal lithotripsy in children]
Urologiia I Nefrologiia
|November 1, 1994
Insights
Extracorporeal lithotripsy (ECL) complications in children were analyzed. Key concerns included macrohematuria, obstructive pyelonephritis, and progressive chronic pyelonephritis in long-term follow-up.
Area of Science:
- Pediatric Urology
- Nephrolithiasis Management
- Extracorporeal Shock Wave Lithotripsy
Background:
- Extracorporeal lithotripsy (ECL) is a common treatment for pediatric kidney stones.
- Understanding long-term complications is crucial for optimizing patient outcomes.
- This study focuses on children aged 4-14, including those with complex coral nephrolithiasis.
Observation:
- A retrospective analysis of 605 pediatric case histories was conducted.
- Data included short- and long-term follow-up observations.
- Specific complications like macrohematuria and pyelonephritis were closely monitored.
Findings:
- Complications of ECL in children were systematically evaluated.
- Macrohematuria was a noted short-term complication.
- Obstructive pyelonephritis and progressive chronic pyelonephritis were identified as significant long-term concerns, particularly in cases of coral nephrolithiasis.
Implications:
- Findings highlight the need for vigilant long-term monitoring of children undergoing ECL.
- Identifying and managing complications like pyelonephritis can prevent chronic kidney damage.
- This analysis informs clinical practice and risk assessment for pediatric urolithiasis treatment.
Abstract:
Complications of extracorporeal lithotripsy (ECL) observed at long- and short-term follow-up have been analyzed basing on 605 case histories of children aged 4-14. 59 of them had coral nephrolithiasis. Special attention was paid to macrohematuria, obstructive pyelonephritis, progressive chronic pyelonephritis.