Pediatric extracorporeal shock wave lithotripsy: Multi-institutional results - Abstract

AIM: To evaluate the efficacy, auxiliary procedures and complications of pediatric extracorporeal shock wave lithotripsy (ESWL) performed with electrohydraulic lithotripters.

METHODS: Children with urolithiasis, aged between 0 and 15, were retrospectively evaluated. ESWL was performed by using two different electrohydraulic lithotripters, Elmed Multimed Classic (Elmed Medical Systems, Ankara, Turkey) and E-1000 (EMD Medical Systems, Ankara, Turkey), between January 2008 and December 2012 in four different referral centers in Turkey.

RESULTS: 85.5% of patients were stone-free at 3 months. Further ESWL treatment was needed in 33.7% of the cases (one session, n = 55; two sessions, n = 15; three sessions, n = 13). Steinstrasse occurred in 10 patients but 8 of them cleared completely during the follow-up period. Urinary tract infection was detected in 3 (3.9%), fever in 3 (3.9%) and a small subcapsular hematoma in one (1.3%) patient, respectively. When the stones were divided into two groups as those with diameters < 10 mm and ≥10 mm, it was found that the stone-free rate was associated with stone diameter, and that the smaller diameters had higher but statistically insignificant stone-free rates (P = 0.196).

CONCLUSION: ESWL yields favorable results with low rates of complication and auxiliary procedures in selected pediatric patients.

Written by:
Ozgür BC, Irkilata L, Ekici M, Hoscan MB, Sarici H, Yücetürk CN, Karakan T, Atilla MK, Hasçiçek AM, Eroglu M.   Are you the author?
Ankara Research and Training Hospital, Ankara, Altindag - Turkey.

Reference: Urologia. 2014 Feb 26;0(0):0.
doi: 10.5301/urologia.5000053

PubMed Abstract
PMID: 24585439 Endourology Section