PMID: 8586504Jan 1, 1995Paper

The aetiological and clinical pattern of childhood urolithiasis in Saudi Arabia

International Urology and Nephrology
S A al-RasheedM M al-Mugeirin

Abstract

The clinical and aetiological pattern in 85 stone-forming children presenting to an integrated nephrourological service in Riyadh is reviewed. All patients were below the age of 15 years, the male to female ratio being 2:1. Only 2 children presented with bladder calculi. The remaining all had upper tract stones and, in 12 cases, these were bilateral. Of 34 calculi recovered for analysis, one-third was predominantly calcium oxalate and a further third was composed of uric acid or urate. Four patients had cysteine stones and the remaining 7 presented mixed calcium stones, 6 (17.6%) being struvite and infection-related. Of the 85 patients 55 were treated successfully with extracorporeal shock wave lithotripsy, 16 underwent surgery and 7 had their stones removed by endourological procedures. In the remaining 7 children, stones dissolved or were passed spontaneously during medical therapy. Nine children (10.6%) showed a primary metabolic defect leading to their stone formation, 10 (11.8%) had a predisposing anatomical anomaly and 15 (17.6%) presented with urinary tract infection. Of the remaining 51 patients (60%) with idiopathic disease, 6 showed hypercalciuria on investigation and 2 children may have formed their stones due to pro...Continue Reading

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Citations

Jul 13, 2005·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Shatha Huusain Ali, Usama Nihad Rifat
Nov 26, 2009·International Urology and Nephrology·Akram AlayaAbdellatif Nouri
Aug 14, 2012·World Journal of Pediatrics : WJP·Jameela Abdulaziz Kari
May 27, 2009·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·A AlayaM F Najjar
Nov 26, 2009·Journal of Pediatric Urology·A AlayaM F Najjar
Dec 12, 2002·Endocrinology and Metabolism Clinics of North America·Orson W MoeKhashayar Sakhaee

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