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[Extracorporeal shock wave lithotripsy (ESWL) in children: our experience in 1995]
G Butori1, J I Iglesias Prieto, J M Mancebo Gómez
1Unidad de Urología, Clínica La Luz, Madrid, España.
Insights
Extracorporeal shock wave lithotripsy (ESWL) is a highly effective treatment for pediatric urinary stones. This study shows excellent results, with many children becoming stone-free after treatment.
Area of Science:
- Pediatric Urology
- Nephrolithiasis Management
Background:
- Urinary calculi (stones) in children present unique management challenges.
- Minimally invasive treatment options are preferred for pediatric patients.
Purpose of the Study:
- To review and analyze the outcomes of extracorporeal shock wave lithotripsy (ESWL) for treating urinary calculi in pediatric patients.
- To evaluate the efficacy and safety of ESWL as a primary treatment modality in children.
Main Methods:
- A retrospective review of 36 children treated between 1985 and 1995.
- Patients ranged in age from 5 months to 14 years.
- Treatment included ESWL, with some cases utilizing combination therapy (percutaneous nephrolithotomy and/or ureteroscopy).
Main Results:
- Excellent treatment results were achieved in 74.9% of the pediatric patients.
- A significant proportion, 52.7%, were rendered stone-free within 2 to 90 days post-treatment.
- ESWL demonstrated a high success rate in pediatric urinary stone management.
Conclusions:
- Extracorporeal shock wave lithotripsy is established as the preferred treatment for pediatric urinary lithiasis.
- Treatment protocols and evaluation methods for children are comparable to those used in adult patients.
- While generally effective, certain exceptions may require alternative or combined therapeutic approaches.
Objectives:
The present study reviews our experience and analyzes the results achieved with extracorporeal shock wave lithotripsy in the treatment of urinary calculi in children.
Methods:
From 1985 to 1995, 36 children, with ages ranging from 5 months to 14 years, were treated by ESWL, and in some cases by combination therapy (percutaneous nepholithectomy and/or ureteroscopy).
Results:
Excellent results were achieved in 74.9% of the patients; of these, 52.7% were stone-free 2 to 90 days after treatment.
Conclusions:
Extracorporeal shock wave lithotripsy is the treatment of choice in children with urinary lithiasis, although there are some exceptions. The method of evaluation and treatment in children are the same as in the adult patients.