PMID: 9555562Apr 29, 1998Paper

Results of extracorporeal shock wave lithotripsy in the pediatric age group

European Urology
O NazliO Erhan

Abstract

In this study we aimed to show the efficacy of extracorporeal shock wave lithotripsy (ESWL) for urinary stone disease in the pediatric age group and to evaluate the complications encountered after the treatment. 67 children with 109 stones underwent ESWL, using a Dornier MPL 9000 lithotriptor. Styrofoam boards were used to protect the lungs. KUB and chest radiographs were taken on the day after treatment. If stone-free status was achieved, the patient was followed with ultrasonography and urine analysis every 6 months for 2 years. If fragments < 4 mm were present, follow-up was repeated every 3 months. Stone size ranged from 0.5 to 3.5 cm. 71 renoureteral units underwent a total of 129 ESWL sessions. Retreatment was required in 28 patients. The mean number of sessions per unit was 1.8. A stone-free status was achieved in 60 renoureteral units. The overall success rate was 88.6%. The composition of the stone was mixed calcium oxalate and phosphate in the majority of the patients. Auxiliary procedures used were push-back, ureteroscopic stone removal, and open surgery. Hematuria, colics and fever over 38 degrees C were the complications encountered after the treatment. ESWL is the first-line treatment for renal and upper ureteral ...Continue Reading

Citations

Aug 25, 1999·Current Opinion in Urology·D A Tolley, P Downey
Dec 24, 2013·Korean journal of urology·Joon Yeop JeeWon Yeol Cho
Apr 23, 1999·Journal of Endourology
Nov 8, 2001·Journal of Endourology·D DelakasA Cranidis
Feb 11, 2005·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Aguinaldo C NardiN Rodrigues Netto
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Nov 23, 2013·Urolithiasis·Ramazan AltintasCemil Colak
Feb 22, 2012·International Urology and Nephrology·Abdelbasset A BadawyAbdelmoneim M Abuzeid
Oct 10, 2009·Pediatric Surgery International·Jianlin LuYing Wang
Jul 21, 2017·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Eyyup Sabri PelitHalil Çiftçi
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May 30, 2013·Journal of Endourology·Namık Kemal HatipogluAbdullah Armagan
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Jan 1, 2016·Urolithiasis·Burak TurnaOktay Nazlı
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Nov 30, 2000·Anesthesiology Clinics of North America·D Gravenstein

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