Extracorporeal shock wave lithotripsy in pediatric patients using a late generation portable lithotriptor: experience at Children's Hospital Boston

The Journal of Urology
Caleb P NelsonBartley G Cilento

Abstract

Kidney stones in children are increasing in incidence. The continued evolution of stone treatment modalities, including shock wave lithotripsy, makes the assessment of continuous outcomes essential. We describe contemporary shock wave lithotripsy outcomes in pediatric patients. A medical record review was performed of all patients younger than 20 years who underwent shock wave lithotripsy in 1998 to 2007. Patients were treated using a Dornier Compact Delta lithotriptor with ultrasound and fluoroscopic imaging. Subjects were defined as stone-free if imaging within 12 months showed no evidence of stones with no additional treatment. Patient and treatment factors associated with successful outcomes were analyzed. In 101 children a total of 114 treatment sequences were performed at a total of 150 shock wave lithotripsy sessions. Mean patient age was 10.5 years and 53% of the patients were girls. Mean stone diameter was 8 mm. Treatment was done for a solitary stone in 76% of cases, for 2 stones in 17% and for 3 or more in 7% with a mean shock count of 2,247. One, 2 and 3 or more treatment sessions were done in 78%, 16% and 6% of patients, respectively. The overall stone-free rate was 58.6%. However, the stone-free rate was only 12.5...Continue Reading

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Citations

Jul 14, 2010·Urological Research·Caleb P Nelson
Feb 12, 2013·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Eslam Al-Abadi, Sally-Anne Hulton
Feb 22, 2012·International Urology and Nephrology·Abdelbasset A BadawyAbdelmoneim M Abuzeid
Feb 26, 2009·Current Urology Reports·Stacy T Tanaka, John C Pope
Jun 24, 2010·The Urologic Clinics of North America·Marc C SmaldoneMichael C Ost
Aug 13, 2009·Indian Journal of Urology : IJU : Journal of the Urological Society of India·Michael Marberger
Mar 4, 2011·Indian Journal of Urology : IJU : Journal of the Urological Society of India·Sean McAdams, Aseem R Shukla
Mar 4, 2011·Indian Journal of Urology : IJU : Journal of the Urological Society of India·Eugene Minevich
Dec 31, 2010·European Journal of Pediatrics·Kathleen HwangCraig A Peters
Jun 4, 2015·Urolithiasis·Mujdem Nur AziliTugrul Tiryaki
Aug 24, 2010·The Journal of Urology·Jonathan C RouthCaleb P Nelson
May 15, 2009·Current Opinion in Urology·Jessica A Mandeville, Caleb P Nelson
Feb 4, 2010·Current Opinion in Urology

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